| NPI | 1427611888 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL OS23226) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MN 76769) |
| Enumeration Date | 2019-04-20 |
| Last Update Date | 2026-05-27 |