| NPI | 1427482280 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX R6468) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: GA 100099) |
| Enumeration Date | 2013-08-29 |
| Last Update Date | 2025-09-30 |