| NPI | 1386922763 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: FL ME145096) | 
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME145096) | 
| Enumeration Date | 2011-08-02 | 
| Last Update Date | 2025-06-26 |