| NPI | 1396729968 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME92282) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 341377) |
| Enumeration Date | 2005-12-06 |
| Last Update Date | 2025-12-18 |