| NPI | 1912901687 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: NC 26398) |
| Additional Taxonomies | 2085N0904X Radiology Nuclear Radiology (Licence: NC 26398) |
| 2085U0001X Radiology Diagnostic Ultrasound (Licence: NC 26398) | |
| Enumeration Date | 2005-06-09 |
| Last Update Date | 2008-12-08 |