| NPI | 1154426674 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 204382) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME130363) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NC 2025-01502) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: PA MD423860) | |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2025-10-02 |