| NPI | 1639666597 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MS 30288) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NV 27301) |
| Enumeration Date | 2018-04-17 |
| Last Update Date | 2025-05-06 |