| NPI | 1497974422 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA G77335) |
| Additional Taxonomies | 2085B0100X Radiology, Body Imaging (Licence: CA G77335) |
| 2085P0229X Radiology, Pediatric Radiology (Licence: CA G77335) | |
| 2085U0001X Radiology, Diagnostic Ultrasound (Licence: CA G77335) | |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2020-04-01 |