| NPI | 1235398942 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085B0100X Radiology, Body Imaging (Licence: TX M8299) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX M8299) |
| 2085U0001X Radiology, Diagnostic Ultrasound (Licence: TX M8299) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: AZ 41764) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NM TM2012-0847) | |
| Enumeration Date | 2008-06-06 |
| Last Update Date | 2017-09-13 |