| NPI | 1164648309 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MD D73064) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME155676) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MI 4301079578) | |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2025-09-24 |