| NPI | 1689693632 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085B0100X Radiology Body Imaging (Licence: KY 27456) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: KY 27456) |
| 207UN0902X Nuclear Medicine Nuclear Imaging & Therapy (Licence: KY 27456) | |
| 2085U0001X Radiology Diagnostic Ultrasound (Licence: KY 27456) | |
| 2085N0904X Radiology Nuclear Radiology (Licence: KY 27456) | |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2008-04-16 |