| NPI | 1497916704 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX Q1019) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MN 59796) |
| Enumeration Date | 2008-06-19 |
| Last Update Date | 2017-10-03 |