| NPI | 1225186349 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085N0700X (Licence: DC MD600006410) |
| Additional Taxonomies | 2085N0700X (Licence: MD D0107875) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MS 23737) | |
| 2085N0700X (Licence: CA A93445) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A93445) | |
| 2085N0700X (Licence: MS 23737) | |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2026-09-11 |