| NPI | 1407110026 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX R3357) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: TN 64754) |
| Enumeration Date | 2012-06-28 |
| Last Update Date | 2025-07-24 |