| NPI | 1669454823 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085N0700X Radiology, Neuroradiology (Licence: CA G66526) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA G66526) |
| 2085P0229X Radiology, Pediatric Radiology (Licence: CA G66526) | |
| 2471M2300X Radiologic Technologist, Mammography (Licence: CA G66526) | |
| Enumeration Date | 2005-11-15 |
| Last Update Date | 2017-03-21 |