| NPI | 1154883650 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: UT 13891759-1205) |
| Additional Taxonomies | 2085N0700X (Licence: UT 13891759-1205) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 125.075390) | |
| Enumeration Date | 2019-04-03 |
| Last Update Date | 2025-04-04 |