| NPI | 1235396722 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085N0700X (Licence: MO 2023038004) |
| Additional Taxonomies | 2085N0700X (Licence: FL ME96588) |
| 2085N0700X (Licence: AZ 64581) | |
| 2085N0904X (Licence: FL ME96588) | |
| 2085N0904X (Licence: AZ 64581) | |
| 2085P0229X Radiology, Pediatric Radiology (Licence: MO 2023038004) | |
| 2085P0229X Radiology, Pediatric Radiology (Licence: FL ME96588) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME96588) | |
| 2085P0229X Radiology, Pediatric Radiology (Licence: AZ 64581) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: AZ 64581) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MO 2023038004) | |
| Enumeration Date | 2008-05-21 |
| Last Update Date | 2023-10-09 |