| NPI | 1710142237 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: WI 62956) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NC 2018-01058) |
| 2085U0001X Radiology, Diagnostic Ultrasound (Licence: WI 62956) | |
| Enumeration Date | 2008-07-24 |
| Last Update Date | 2024-03-08 |