| NPI | 1912075862 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085B0100X Radiology, Body Imaging (Licence: IL 2085B0100X) |
| Additional Taxonomies | 2085B0100X Radiology, Body Imaging (Licence: ME EC-05-165) |
| 2085B0100X Radiology, Body Imaging (Licence: NH 14212) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: PA MD487239) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME160191) | |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2025-04-16 |