| NPI | 1609036953 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: OR MD126195) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 247405) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: WA MD60096373) | |
| Enumeration Date | 2008-06-10 |
| Last Update Date | 2025-11-12 |