| NPI | 1902871668 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX H4379) |
| Additional Taxonomies | 174400000X Specialist (Licence: TX E14264) |
| Enumeration Date | 2006-02-17 |
| Last Update Date | 2017-03-09 |