| NPI | 1972163517 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME170457) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 291718) |
| Enumeration Date | 2019-06-17 |
| Last Update Date | 2025-04-29 |