| NPI | 1851351043 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NC 2013-02238) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX G2994) |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2021-06-09 |