| NPI | 1942528021 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX Q6289) |
| Additional Taxonomies | 2085N0700X (Licence: TX Q6289) |
| Enumeration Date | 2010-05-13 |
| Last Update Date | 2025-08-26 |