| NPI | 1609302967 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: OR MD216010) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: UT 10957201-1205) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: TX U8399) | |
| Enumeration Date | 2017-05-05 |
| Last Update Date | 2026-03-04 |