| NPI | 1104027580 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 244395) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX W0542) |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2025-10-15 |