| NPI | 1396821831 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: PR 4808) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MO R4826) |
| 2085U0001X Radiology, Diagnostic Ultrasound (Licence: PR 4808) | |
| 2085U0001X Radiology, Diagnostic Ultrasound (Licence: MO R4826) | |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2007-07-08 |