| NPI | 1285078022 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: SC 52127) |
| Additional Taxonomies | 2085N0904X Radiology, Nuclear Radiology (Licence: KY 48474) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: KY 48474) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: KY IP1410) | |
| Enumeration Date | 2013-04-23 |
| Last Update Date | 2019-06-13 |