| NPI | 1568780096 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085U0001X Radiology, Diagnostic Ultrasound (Licence: CA 118554) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A118554) |
| Enumeration Date | 2010-05-07 |
| Last Update Date | 2019-12-16 |