| NPI | 1003844986 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: PR 11095) |
| Additional Taxonomies | 2085B0100X Radiology, Body Imaging (Licence: PR 11095) |
| 2085U0001X Radiology, Diagnostic Ultrasound (Licence: PR 11095) | |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2013-09-06 |