| NPI | 1023263704 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085N0700X (Licence: CO DR.0067743) |
| Additional Taxonomies | 2085N0700X (Licence: NM MD2015-0767) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: CO DR.0067743) | |
| Enumeration Date | 2008-11-24 |
| Last Update Date | 2026-01-05 |