| NPI | 1568090090 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085N0700X (Licence: MD H0105364) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MD H0105364) |
| Enumeration Date | 2020-03-30 |
| Last Update Date | 2026-06-20 |