| NPI | 1053459529 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085B0100X Radiology, Body Imaging (Licence: MI 4301046753) |
| Additional Taxonomies | 2085N0700X Radiology, Neuroradiology (Licence: MI 4301046753) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MI 4301046753) | |
| 2085U0001X Radiology, Diagnostic Ultrasound (Licence: MI 4301046753) | |
| Enumeration Date | 2007-02-04 |
| Last Update Date | 2007-07-08 |