| NPI | 1477903672 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MO 2025036598) |
| Additional Taxonomies | 2085B0100X Radiology, Body Imaging (Licence: MO 2025036598) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: OK 45807) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MD D90924) | |
| Enumeration Date | 2016-06-17 |
| Last Update Date | 2025-10-06 |