| NPI | 1730126590 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MO 2006012203) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX M1769) |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2013-05-21 |