| NPI | 1891226304 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: KS 04-49229) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A157070) |
| Enumeration Date | 2017-03-26 |
| Last Update Date | 2025-03-10 |