| NPI | 1457572216 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A102927) |
| Additional Taxonomies | 2085N0700X Radiology, Neuroradiology (Licence: KY 54152) |
| 2085P0229X Radiology, Pediatric Radiology (Licence: CO DR.0061199) | |
| 2085P0229X Radiology, Pediatric Radiology (Licence: FL ME98116) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME98116) | |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2024-04-12 |