| NPI | 1841088960 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085B0100X Radiology, Body Imaging (Licence: TX NA) |
| Additional Taxonomies | 2085B0100X Radiology, Body Imaging (Licence: TX EXEMPT) |
| Enumeration Date | 2025-04-28 |
| Last Update Date | 2025-04-28 |