| NPI | 1689019804 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: DE C1-0013115) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: AZ 69690) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A186157) | |
| Enumeration Date | 2013-05-01 |
| Last Update Date | 2026-10-09 |