| NPI | 1659479848 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: GA 037220) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME105159) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 302566) | |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2025-03-07 |