| NPI | 1710907142 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: WI 53021) |
| Additional Taxonomies | 2085B0100X Radiology Body Imaging (Licence: MO 117502) |
| 2085R0202X Radiology Diagnostic Radiology (Licence: MO 117502) | |
| 2085U0001X Radiology Diagnostic Ultrasound (Licence: MO 117502) | |
| 2085B0100X Radiology Body Imaging (Licence: WI 53021) | |
| 2085U0001X Radiology Diagnostic Ultrasound (Licence: WI 53021) | |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2011-03-10 |