| NPI | 1649697947 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A160157) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MO 2021044487) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME177856) | |
| Enumeration Date | 2014-03-25 |
| Last Update Date | 2026-03-19 |