| NPI | 1699880682 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: FL ME163871) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: NY 225928) |
| 2085P0229X Radiology Pediatric Radiology (Licence: FL ME163871) | |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2025-04-30 |