| NPI | 1588816136 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX Q2256) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A103017) |
| Enumeration Date | 2008-10-15 |
| Last Update Date | 2018-03-27 |