| NPI | 1619080488 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA G86366) |
| Additional Taxonomies | 2085B0100X Radiology, Body Imaging (Licence: OR MD23717) |
| 2085B0100X Radiology, Body Imaging (Licence: WA MD00045034) | |
| 2085B0100X Radiology, Body Imaging (Licence: CA G86366) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: OR MD23717) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: WA MD00045034) | |
| 2085U0001X Radiology, Diagnostic Ultrasound (Licence: OR MD23717) | |
| 2085U0001X Radiology, Diagnostic Ultrasound (Licence: WA MD00045034) | |
| 2085U0001X Radiology, Diagnostic Ultrasound (Licence: CA G86366) | |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2016-07-11 |