| NPI | 1114375086 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: ID M-17438) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A180767) |
| Enumeration Date | 2016-06-01 |
| Last Update Date | 2025-08-03 |