| NPI | 1255726329 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: IA MD-47387) |
| Additional Taxonomies | 2085B0100X Radiology Body Imaging (Licence: WA MD61155756) |
| 2085B0100X Radiology Body Imaging (Licence: IA MD-47387) | |
| 2085R0202X Radiology Diagnostic Radiology (Licence: WA MD61155756) | |
| 2085U0001X Radiology Diagnostic Ultrasound (Licence: IA MD-47387) | |
| Enumeration Date | 2015-04-05 |
| Last Update Date | 2025-04-28 |