| NPI | 1780830554 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NE 35243) |
| Additional Taxonomies | 2085B0100X Radiology, Body Imaging (Licence: IA MD-52405) |
| 2085B0100X Radiology, Body Imaging (Licence: VA 0101247128) | |
| 2085B0100X Radiology, Body Imaging (Licence: NE 35243) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: IA MD-52405) | |
| Enumeration Date | 2008-08-13 |
| Last Update Date | 2024-02-16 |