| NPI | 1871975474 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME128578) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 297339) |
| Enumeration Date | 2015-06-19 |
| Last Update Date | 2026-07-31 |