| NPI | 1417247255 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: TX R3461) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: CA 141819) |
| Enumeration Date | 2011-04-13 |
| Last Update Date | 2017-11-20 |