| NPI | 1255567038 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: FL ME124886) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME124886) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NJ 25MA12536100) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: GA 101071) | |
| Enumeration Date | 2009-06-07 |
| Last Update Date | 2025-10-31 |