| NPI | 1144249095 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: PR 13018) |
| Additional Taxonomies | 2085P0229X Radiology, Pediatric Radiology (Licence: PR 13018) |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2008-12-10 |