| NPI | 1750584553 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 336879) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CO 52881) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: CT 045904) | |
| Enumeration Date | 2007-06-08 |
| Last Update Date | 2025-07-10 |