| NPI | 1902030166 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: AZ 51108) |
| Additional Taxonomies | 2085U0001X Radiology, Diagnostic Ultrasound (Licence: AZ 51108) |
| 2085B0100X Radiology, Body Imaging (Licence: AZ 51108) | |
| Enumeration Date | 2009-05-04 |
| Last Update Date | 2017-01-31 |