NPI | 1023095080 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: WA MD00037464) |
Additional Taxonomies | 2085U0001X Radiology, Diagnostic Ultrasound (Licence: WA MD00037464) |
Enumeration Date | 2005-12-29 |
Last Update Date | 2012-10-05 |