| NPI | 1164626107 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 1028208) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX N0406) |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2026-05-11 |