| NPI | 1548316565 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 1024622) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: HI 25744) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: CA G84477) | |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2025-10-29 |