| NPI | 1568956977 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: RI MD18313) |
| Additional Taxonomies | 208600000X Surgery (Licence: RI LP04254) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: GA 113759) | |
| Enumeration Date | 2018-06-19 |
| Last Update Date | 2026-08-18 |