| NPI | 1700347028 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: AR E-19606) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: AL 48585) |
| Enumeration Date | 2019-03-28 |
| Last Update Date | 2025-07-25 |