| NPI | 1770592768 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA G47276) |
| Additional Taxonomies | 2085U0001X Radiology, Diagnostic Ultrasound (Licence: CA G47276) |
| 2085B0100X Radiology, Body Imaging (Licence: CA G47276) | |
| 2085D0003X Radiology, Diagnostic Neuroimaging (Licence: CA G47276) | |
| 2085N0700X Radiology, Neuroradiology (Licence: CA G47276) | |
| 2085N0904X Radiology, Nuclear Radiology (Licence: CA G47276) | |
| Enumeration Date | 2006-08-07 |
| Last Update Date | 2019-12-18 |