| NPI | 1811030737 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MO 2001008545) |
| Additional Taxonomies | 2085B0100X Radiology, Body Imaging (Licence: MO 2001008545) |
| 2085N0700X (Licence: MO 2001008545) | |
| 2085N0904X (Licence: MO 2001008545) | |
| 2085U0001X Radiology, Diagnostic Ultrasound (Licence: MO 2001008545) | |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2011-01-06 |