| NPI | 1548443716 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: UT 6020095-1205) |
| Additional Taxonomies | 2085N0700X (Licence: UT 6020095-1205) |
| 2085N0904X (Licence: UT 6020095-1205) | |
| Enumeration Date | 2007-12-11 |
| Last Update Date | 2019-02-26 |