| NPI | 1629014386 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX L1091) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: IA MD-56162) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: WI 14561-320) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MN 81278) | |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2026-02-19 |