| NPI | 1992844153 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX N6150) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: OK 25215) |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2010-06-15 |