| NPI | 1164412763 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA C147940) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: VA 0101272542) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MD D0057384) | |
| Enumeration Date | 2005-10-25 |
| Last Update Date | 2026-05-07 |