| NPI | 1013127323 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: WA OP00002318) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: WA OP00002318) |
| 208D00000X General Practice (Licence: NY 268740) | |
| 208D00000X General Practice (Licence: IN 02003485B) | |
| 208D00000X General Practice (Licence: IN 02003485A) | |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2023-02-08 |