| NPI | 1528251923 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX Q2222) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: WI 60898) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MO 2012007271) | |
| Enumeration Date | 2007-08-20 |
| Last Update Date | 2019-08-22 |