| NPI | 1801201090 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: GA 109459) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MD D87319) |
| Enumeration Date | 2014-06-25 |
| Last Update Date | 2026-05-27 |