| NPI | 1164624789 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME103295) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NV 27026) |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2025-05-07 |