| NPI | 1487282067 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CT 72868) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: WI 85331) |
| Enumeration Date | 2020-03-30 |
| Last Update Date | 2025-08-27 |