| NPI | 1083381057 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 1017864) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 290436) |
| Enumeration Date | 2021-08-26 |
| Last Update Date | 2025-08-26 |