| NPI | 1508376856 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX S8164) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: WI 22833) |
| Enumeration Date | 2017-10-01 |
| Last Update Date | 2025-01-24 |