| NPI | 1750466876 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MS 06764) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 283299) |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2026-06-03 |