| NPI | 1780643239 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: NM MD2015-0603) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: TX G4498) |
| Enumeration Date | 2006-03-22 |
| Last Update Date | 2015-07-22 |