| NPI | 1245269554 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: KY 43979) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME 57828) |
| 2085U0001X Radiology, Diagnostic Ultrasound (Licence: KY 43979) | |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2012-12-19 |