| NPI | 1669903191 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NM MD2022-0911) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: WI 72231) |
| Enumeration Date | 2017-03-26 |
| Last Update Date | 2023-07-21 |