| NPI | 1396717666 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CT 040312) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MN 42127) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NJ 25MB08334700) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 182948) | |
| Enumeration Date | 2006-02-02 |
| Last Update Date | 2026-01-26 |