| NPI | 1740385210 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085B0100X Radiology Body Imaging |
| Additional Taxonomies | 2085N0904X Radiology Nuclear Radiology |
| 2085P0229X Radiology Pediatric Radiology | |
| 2085R0001X Radiology Radiation Oncology | |
| 2085R0202X Radiology Diagnostic Radiology | |
| 2085R0203X Radiology Therapeutic Radiology | |
| 2085R0204X Radiology Vascular & Interventional Radiology | |
| 2085U0001X Radiology Diagnostic Ultrasound | |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2007-07-09 |