| NPI | 1942468426 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X (Licence: WV 34473) |
| Additional Taxonomies | 2085R0001X (Licence: SC TL34483) |
| 2085R0001X (Licence: FL ME108066) | |
| 2085R0001X (Licence: SC MD34483) | |
| 2085R0203X Radiology, Therapeutic Radiology (Licence: NY 24405-1) | |
| Enumeration Date | 2008-05-30 |
| Last Update Date | 2025-03-13 |