| NPI | 1972564953 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: NH 24360) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: TX L3405) |
| Enumeration Date | 2006-03-30 |
| Last Update Date | 2023-08-18 |