| NPI | 1295939437 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085N0700X (Licence: WI 13776-320) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: WA MD 60255056) |
| Enumeration Date | 2007-06-12 |
| Last Update Date | 2025-09-03 |