| NPI | 1144429317 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME99487) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: WY 12500C) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: ND 16148) | |
| Enumeration Date | 2007-07-17 |
| Last Update Date | 2026-08-27 |