| NPI | 1992739635 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME108537) | 
| Additional Taxonomies | 2085B0100X Radiology, Body Imaging (Licence: FL 108537) | 
| 2085N0904X (Licence: FL 108537) | |
| Enumeration Date | 2006-07-10 | 
| Last Update Date | 2025-06-19 |