| NPI | 1659630671 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX P3932) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: PA OT012696) |
| Enumeration Date | 2012-05-11 |
| Last Update Date | 2013-09-24 |