| NPI | 1811574536 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: OR MD228819) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: WA MD.MD.70117337) |
| Enumeration Date | 2021-03-27 |
| Last Update Date | 2026-08-28 |