| NPI | 1083143127 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 285700) |
| Additional Taxonomies | 208D00000X General Practice (Licence: MA 271898) |
| Enumeration Date | 2017-06-11 |
| Last Update Date | 2026-02-06 |