| NPI | 1093039539 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX Q7166)  | 
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL me129656)  | 
| 2085R0202X Radiology, Diagnostic Radiology (Licence: LA 310184)  | |
| Enumeration Date | 2010-03-25 | 
| Last Update Date | 2025-03-17 |