| NPI | 1912550724 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: PA MD483333) |
| Additional Taxonomies | 2085B0100X Radiology, Body Imaging (Licence: MA 279112) |
| Enumeration Date | 2019-07-20 |
| Last Update Date | 2024-02-28 |