| NPI | 1023634219 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MO 2025022425) |
| Additional Taxonomies | 207U00000X Nuclear Medicine (Licence: MO 2025022425) |
| Enumeration Date | 2020-06-23 |
| Last Update Date | 2025-08-13 |