| NPI | 1902339666 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MN 71382) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: WI 82366-20) |
| Enumeration Date | 2017-04-09 |
| Last Update Date | 2025-10-08 |