| NPI | 1083350383 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085N0904X (Licence: MD D0106393) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: WA MD61569520) |
| Enumeration Date | 2022-05-10 |
| Last Update Date | 2026-05-21 |