| NPI | 1811940653 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MI 5101007806) |
| Additional Taxonomies | 2085B0100X Radiology, Body Imaging (Licence: MI 5101007806) |
| 2085U0001X Radiology, Diagnostic Ultrasound (Licence: MI 5101007806) | |
| 208D00000X General Practice (Licence: MI 5101007806) | |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2015-07-06 |