| NPI | 1124524426 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085N0700X (Licence: OR MD200075) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: OR MD200075) |
| 2085N0700X (Licence: UT 13312676-1205) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: UT 13312676-1205) | |
| Enumeration Date | 2018-04-04 |
| Last Update Date | 2025-08-07 |