| NPI | 1962908897 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085B0100X Radiology Body Imaging (Licence: WI 83219) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: MD D89488) |
| Enumeration Date | 2018-03-31 |
| Last Update Date | 2024-06-18 |