| NPI | 1871708438 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: PA MD437080) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 1018047) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: TX V5873) | |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2026-06-08 |