| NPI | 1003176710 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A158528) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX R9511) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: VA 0101282715) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: LA 343655) | |
| Enumeration Date | 2012-05-29 |
| Last Update Date | 2026-05-07 |