| NPI | 1811212715 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: WA MD60288763) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: KY 54599) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: KY TP681) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: CT 66864) | |
| 2085N0700X Radiology, Neuroradiology (Licence: WA MD60288763) | |
| Enumeration Date | 2010-04-02 |
| Last Update Date | 2024-09-10 |