| NPI | 1528142684 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX K6471) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CO CDR.0005940) |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: CO CDR.0005940) | |
| 2085N0904X (Licence: CO CDR.0005940) | |
| 2085P0229X Radiology, Pediatric Radiology (Licence: CO CDR.0005940) | |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2025-12-03 |