| NPI | 1396950952 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085N0700X (Licence: DC MD34092) |
| Additional Taxonomies | 2085B0100X Radiology, Body Imaging (Licence: DC MD34092) |
| 2085N0700X (Licence: MO 2002010054) | |
| 2085P0229X Radiology, Pediatric Radiology (Licence: MO 2002010054) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: VA 0101242750) | |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2021-11-15 |