| NPI | 1598912909 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A125736) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: VA 0101245459) |
| 2085B0100X Radiology, Body Imaging (Licence: LA MD.202337) | |
| Enumeration Date | 2008-08-27 |
| Last Update Date | 2026-01-29 |