| NPI | 1124524426 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: UT 13312676-1205) |
| Additional Taxonomies | 2085N0700X Radiology Neuroradiology (Licence: UT 13312676-1205) |
| Enumeration Date | 2018-04-04 |
| Last Update Date | 2024-07-02 |