| NPI | 1720548365 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: GA 104926) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MN 72342) |
| Enumeration Date | 2019-03-20 |
| Last Update Date | 2025-06-27 |