| NPI | 1013245968 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 260128) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: SC 36069) |
| Enumeration Date | 2009-12-03 |
| Last Update Date | 2016-02-17 |