| NPI | 1528370319 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX R5066) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: OK 31993) |
| Enumeration Date | 2010-07-08 |
| Last Update Date | 2023-08-09 |