| NPI | 1932442415 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX R6745) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX R6745) |
| 207Q00000X Family Medicine (Licence: AR E-9639) | |
| Enumeration Date | 2013-04-02 |
| Last Update Date | 2020-07-08 |