| NPI | 1386844959 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2085D0003X Radiology, Diagnostic Neuroimaging (Licence: WI 56985-20)  | 
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MI 4301090634)  | 
| Enumeration Date | 2007-07-23 | 
| Last Update Date | 2025-09-25 |