| NPI | 1619505856 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX W3789) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: AL 43419) |
| Enumeration Date | 2020-04-01 |
| Last Update Date | 2026-08-25 |