| NPI | 1528005865 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: KY 19703) |
| Additional Taxonomies | 2085B0100X Radiology Body Imaging (Licence: KY 19703) |
| 2085N0700X Radiology Neuroradiology (Licence: KY 19703) | |
| 2085U0001X Radiology Diagnostic Ultrasound (Licence: KY 19703) | |
| 2085N0904X Radiology Nuclear Radiology (Licence: KY 19703) | |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2007-11-09 |