| NPI | 1447204672 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: UT 327419-1205)  | 
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: GA 78860)  | 
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NC 200400042)  | |
| Enumeration Date | 2006-05-20 | 
| Last Update Date | 2022-06-29 |