| NPI | 1740470335 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: LA MD201528) |
| Additional Taxonomies | 2085U0001X Radiology, Diagnostic Ultrasound (Licence: LA MD201528) |
| 2085B0100X Radiology, Body Imaging (Licence: LA MD201528) | |
| Enumeration Date | 2007-07-30 |
| Last Update Date | 2017-03-29 |