| NPI | 1225032089 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NC 9700366) |
| Additional Taxonomies | 2085N0904X (Licence: NC 9700366) |
| 2085U0001X Radiology, Diagnostic Ultrasound (Licence: NC 9700366) | |
| Enumeration Date | 2005-06-09 |
| Last Update Date | 2022-06-03 |