| NPI | 1952354896 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MI 4301078427) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: SC 33141) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MD D0064318) | |
| 2085R0203X Radiology, Therapeutic Radiology (Licence: MD D0064318) | |
| 2085U0001X Radiology, Diagnostic Ultrasound (Licence: MD D0064318) | |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2020-08-05 |