| NPI | 1982080784 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CT 76335) |
| Additional Taxonomies | 207U00000X Nuclear Medicine (Licence: CT 76335) |
| Enumeration Date | 2015-08-04 |
| Last Update Date | 2026-06-10 |