| NPI | 1518063973 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085B0100X Radiology Body Imaging (Licence: OR MD22375) |
| Additional Taxonomies | 2085B0100X Radiology Body Imaging (Licence: PA MD-065709-L) |
| 2085B0100X Radiology Body Imaging (Licence: NY 205286-1) | |
| 2085B0100X Radiology Body Imaging (Licence: WA MD00039333) | |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2022-02-01 |