| NPI | 1447345665 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: WA MD61553919) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NJ 25MA04310800) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: PA MD054844L) | |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2026-04-27 |