| NPI | 1407086861 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085N0700X (Licence: TX U9020) |
| Additional Taxonomies | 2085P0229X Radiology, Pediatric Radiology (Licence: TX U9029) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: TX U9029) | |
| Enumeration Date | 2009-07-20 |
| Last Update Date | 2025-08-19 |