| NPI | 1437630597 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085N0700X (Licence: VA 0101271931) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: VA 0109542105) |
| Enumeration Date | 2018-08-27 |
| Last Update Date | 2025-05-05 |