| NPI | 1699018424 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NV 19203) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX S1390) |
| Enumeration Date | 2013-03-29 |
| Last Update Date | 2025-05-13 |