| NPI | 1336706142 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085N0700X (Licence: SC 94061) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: IA R-11478) |
| Enumeration Date | 2019-05-28 |
| Last Update Date | 2025-05-27 |