| NPI | 1851592257 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: TN 43944) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX L8239) |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2008-10-30 |