| NPI | 1528260411 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA C140762) |
| Additional Taxonomies | 2085B0100X Radiology, Body Imaging (Licence: MI 4301091679) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: AZ 36874) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MI 4301091679) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: WA MD60082471) | |
| Enumeration Date | 2007-06-03 |
| Last Update Date | 2021-11-29 |