| NPI | 1396309621 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX T5809) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MO 2024008804) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: OK 9051) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NM DO2025-0117) | |
| Enumeration Date | 2019-04-22 |
| Last Update Date | 2025-07-17 |