| NPI | 1720492275 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: AZ 78397) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: KY c1736) |
| Enumeration Date | 2014-06-12 |
| Last Update Date | 2025-12-12 |