| NPI | 1578902441 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MI 4301103559) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: GA 124) |
| Enumeration Date | 2013-06-24 |
| Last Update Date | 2025-11-04 |