| NPI | 1164097663 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: VT 042.0040405) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MI 4351047901) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 345073) | |
| Enumeration Date | 2021-05-26 |
| Last Update Date | 2026-07-27 |