| NPI | 1548459340 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA 20A14319) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: AZ 269074) |
| 207Q00000X Family Medicine (Licence: NY 246397) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 246397) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 269074) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NV DO1774) | |
| Enumeration Date | 2007-10-17 |
| Last Update Date | 2024-04-09 |