| NPI | 1093682999 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX 48790) |
| Additional Taxonomies | 2085N0700X (Licence: TX 48790) |
| Enumeration Date | 2025-10-23 |
| Last Update Date | 2025-11-05 |