| NPI | 1073157376 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085P0229X Radiology, Pediatric Radiology (Licence: UT 13166410-1205) |
| Additional Taxonomies | 2085N0700X Radiology, Neuroradiology (Licence: PA LT000844) |
| 2085N0904X Radiology, Nuclear Radiology (Licence: PA LT000844) | |
| 2085N0904X Radiology, Nuclear Radiology (Licence: UT 13166410-1205) | |
| 2085P0229X Radiology, Pediatric Radiology (Licence: PA LT000844) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: UT 13166410-1205) | |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: UT 13166410-1205) | |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: PA LT000844) | |
| Enumeration Date | 2019-10-30 |
| Last Update Date | 2024-07-29 |