| NPI | 1932532900 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME153225) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: GA 80580) |
| Enumeration Date | 2013-08-14 |
| Last Update Date | 2025-09-16 |