| NPI | 1609403997 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085N0904X (Licence: TX V9341) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX V9341) |
| Enumeration Date | 2020-03-25 |
| Last Update Date | 2025-10-15 |