| NPI | 1508916057 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: PR 7089) |
| Additional Taxonomies | 2085U0001X Radiology Diagnostic Ultrasound (Licence: PR 7089) |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2024-07-02 |