| NPI | 1417922188 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CO CDRH.0065240) |
| Additional Taxonomies | 2085B0100X Radiology, Body Imaging (Licence: NJ 25MA06803100) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: WY 13390C) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NE 33291) | |
| Enumeration Date | 2006-02-17 |
| Last Update Date | 2021-05-18 |