| NPI | 1295709046 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2083A0300X Preventive Medicine Addiction Medicine (Licence: CA A77967) |
| Additional Taxonomies | 2085P0229X Radiology Pediatric Radiology (Licence: CA A77967) |
| 2085R0202X Radiology Diagnostic Radiology (Licence: CA A77967) | |
| 2085U0001X Radiology Diagnostic Ultrasound (Licence: CA A77967) | |
| 261QM1200X Clinic/Center Magnetic Resonance Imaging (MRI) | |
| 2085B0100X Radiology Body Imaging (Licence: CA A77967) | |
| 2083S0010X Preventive Medicine Sports Medicine (Licence: CA A77967) | |
| 2085N0700X Radiology Neuroradiology (Licence: CA A77967) | |
| Enumeration Date | 2006-02-16 |
| Last Update Date | 2021-03-12 |