| NPI | 1699490078 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX GMR02010074) |
| Additional Taxonomies | 246RP1900X Technician, Pathology, Phlebotomy (Licence: TX NPCN-16623-1949) |
| Enumeration Date | 2022-10-07 |
| Last Update Date | 2022-10-07 |