| NPI | 1558571794 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: HI 16433) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: WA MD60205872) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: TX N2022) | |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2022-02-26 |