| NPI | 1093203937 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MO 2025007732) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NH 39276) |
| Enumeration Date | 2018-04-26 |
| Last Update Date | 2026-05-20 |