| NPI | 1487884730 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: LA MD.207804) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: TX N7866) |
| Enumeration Date | 2009-07-21 |
| Last Update Date | 2024-03-01 |