| NPI | 1952395410 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085U0001X Radiology, Diagnostic Ultrasound (Licence: PR 8976) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: PR 8976) |
| Enumeration Date | 2005-09-09 |
| Last Update Date | 2010-03-29 |