| NPI | 1811163256 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: GA 92201) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX M9504) |
| Enumeration Date | 2008-05-06 |
| Last Update Date | 2023-01-11 |