| NPI | 1003989179 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: WA MD00038576) |
| Additional Taxonomies | 2085U0001X Radiology, Diagnostic Ultrasound (Licence: WA 00038576) |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2018-08-17 |