| NPI | 1831319284 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX N9577) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NE 23548) |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2016-07-07 |