| NPI | 1831353325 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX P7857) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CT 50430) |
| Enumeration Date | 2008-07-14 |
| Last Update Date | 2020-07-07 |