| NPI | 1427258615 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: VT 042.0014500) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: PA MT179248) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 335215) | |
| Enumeration Date | 2007-07-25 |
| Last Update Date | 2025-08-05 |