| NPI | 1629071881 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: SD 2590) |
| Additional Taxonomies | 2085U0001X Radiology, Diagnostic Ultrasound (Licence: SD 2590) |
| Enumeration Date | 2005-05-23 |
| Last Update Date | 2008-01-16 |