| NPI | 1952433641 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CO 45967) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: TN 76294) |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2026-02-25 |