| NPI | 1780690586 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX R9956) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: WI 74097) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: TN 64638) | |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2023-11-07 |