| NPI | 1326285933 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085U0001X Radiology, Diagnostic Ultrasound (Licence: TX 625084) |
| Additional Taxonomies | 261QR0200X Clinic/Center, Radiology |
| 335V00000X Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier | |
| Enumeration Date | 2009-01-20 |
| Last Update Date | 2025-08-06 |