| NPI | 1659506921 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: VA 0101260060) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NV 28278) |
| Enumeration Date | 2009-05-15 |
| Last Update Date | 2025-11-06 |