| NPI | 1609898113 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: LA 09848R) |
| Additional Taxonomies | 2085B0100X Radiology, Body Imaging (Licence: LA 09848R) |
| 2085U0001X Radiology, Diagnostic Ultrasound (Licence: LA 09848R) | |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2018-07-04 |