| NPI | 1619156635 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: CA C159704) |
| Additional Taxonomies | 2085B0100X Radiology Body Imaging (Licence: NY 307838) |
| 2085R0202X Radiology Diagnostic Radiology (Licence: IA MD-48196) | |
| 2085R0202X Radiology Diagnostic Radiology (Licence: TX M5668) | |
| Enumeration Date | 2007-10-26 |
| Last Update Date | 2023-06-15 |