| NPI | 1518349851 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX T7493) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: GA 85649) |
| Enumeration Date | 2015-06-23 |
| Last Update Date | 2022-09-02 |