| NPI | 1023099322 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: PA MD483262) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 217316) |
| Enumeration Date | 2005-11-14 |
| Last Update Date | 2025-01-17 |