| NPI | 1033665757 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX U0784) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: PR 22994) |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2025-02-07 |