| NPI | 1649554767 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MI 5101019325) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: KY 06385) |
| Enumeration Date | 2011-10-07 |
| Last Update Date | 2026-07-02 |