| NPI | 1225108533 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA G84084) | 
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: PA MD473206) | 
| 2085R0202X Radiology, Diagnostic Radiology (Licence: AR E-14216) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: AZ 37952) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NJ 25MA08748100) | |
| Enumeration Date | 2006-11-08 | 
| Last Update Date | 2025-08-20 |