| NPI | 1306874581 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME92482) |
| Additional Taxonomies | 2085N0700X (Licence: FL ME 92482) |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2025-12-05 |