| NPI | 1992064521 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MO 2018009202)  | 
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 267333)  | 
| 2085N0700X  (Licence: IN 01089155A)  | |
| 2085N0700X  (Licence: MO 2018009202)  | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: IN 01089155A)  | |
| Enumeration Date | 2012-05-16 | 
| Last Update Date | 2025-10-14 |