| NPI | 1831135367 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: FL ME82573) |
| Additional Taxonomies | 2085N0700X Radiology Neuroradiology (Licence: FL ME82573) |
| 2085U0001X Radiology Diagnostic Ultrasound (Licence: FL ME82573) | |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2020-06-09 |