| NPI | 1275854226 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: VA 0101257523) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 283652) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME134858) | |
| Enumeration Date | 2010-06-14 |
| Last Update Date | 2026-06-03 |