| NPI | 1033211289 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: PR 3789) |
| Additional Taxonomies | 2085U0001X Radiology Diagnostic Ultrasound (Licence: PR 3789) |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2011-06-15 |