| NPI | 1134175441 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 223955) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MI 4301511611) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 333574) | |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2025-11-05 |