| NPI | 1134163165 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: CA G76053) |
| Additional Taxonomies | 2085B0100X Radiology Body Imaging (Licence: CA G76053) |
| 2085N0700X Radiology Neuroradiology (Licence: CA G76053) | |
| 2085U0001X Radiology Diagnostic Ultrasound (Licence: CA G76053) | |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2014-05-09 |