| NPI | 1962759589 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: GA 78261) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX Q8217) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: UT 9005424-1205) | |
| Enumeration Date | 2012-08-14 |
| Last Update Date | 2017-08-25 |