| NPI | 1548822083 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 1021382) |
| Additional Taxonomies | 2085N0904X (Licence: MA 1021382) |
| Enumeration Date | 2019-07-04 |
| Last Update Date | 2026-06-19 |