| NPI | 1164406310 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CO 30482) |
| Additional Taxonomies | 2085N0700X Radiology, Neuroradiology (Licence: CO 30482) |
| 2085B0100X Radiology, Body Imaging (Licence: CO 30482) | |
| 2085N0904X Radiology, Nuclear Radiology (Licence: CO 30482) | |
| 2085P0229X Radiology, Pediatric Radiology (Licence: PA 30482) | |
| Enumeration Date | 2005-12-01 |
| Last Update Date | 2021-02-01 |