| NPI | 1477180453 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 1022398) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: IA MD-55459) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NM MD2025-0560) | |
| Enumeration Date | 2020-03-27 |
| Last Update Date | 2026-02-24 |