| NPI | 1740303429 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: TX P1635) |
| Additional Taxonomies | 2085B0100X Radiology, Body Imaging (Licence: TX P1635) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: TX P1635) | |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2025-09-24 |