| NPI | 1962821991 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME143518) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: AK 229231) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: VA 0101282152) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: WA MD60881108) | |
| Enumeration Date | 2014-04-07 |
| Last Update Date | 2026-07-21 |