| NPI | 1649476516 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX M7682) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: WA MD60214623) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: OR MD159257) | |
| Enumeration Date | 2007-06-26 |
| Last Update Date | 2015-03-30 |