| NPI | 1336512946 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: FL ME145985) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: GA 99186) |
| Enumeration Date | 2015-11-04 |
| Last Update Date | 2025-08-15 |