| NPI | 1407477359 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085B0100X Radiology, Body Imaging (Licence: MA 1013771) |
| Additional Taxonomies | 2085N0700X (Licence: MA 1013771) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 1013771) | |
| Enumeration Date | 2020-05-01 |
| Last Update Date | 2025-11-10 |