| NPI | 1770532970 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX Q1529) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 216668) |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2015-03-05 |