| NPI | 1225005796 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085N0904X Radiology, Nuclear Radiology (Licence: KY 41376) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 55284) |
| 2085N0904X Radiology, Nuclear Radiology (Licence: MA 55284) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: KY 41376) | |
| Enumeration Date | 2006-03-03 |
| Last Update Date | 2016-08-03 |