| NPI | 1942248778 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: FL ME110774) |
| Additional Taxonomies | 2085R0203X Radiology Therapeutic Radiology (Licence: MD D54487) |
| 2085U0001X Radiology Diagnostic Ultrasound (Licence: MD D54487) | |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2015-10-01 |