| NPI | 1912404385 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085B0100X Radiology, Body Imaging (Licence: IA MD-51707) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MN 66328) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MN 28919) | |
| Enumeration Date | 2018-04-11 |
| Last Update Date | 2023-11-13 |