| NPI | 1366004178 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: GA 103190) |
| Additional Taxonomies | 2085N0904X (Licence: GA 103190) |
| Enumeration Date | 2019-07-01 |
| Last Update Date | 2026-08-24 |