| NPI | 1043458847 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: GA 88146) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CT 048380) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MD D78509) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: DC MD042530) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: VA 0101248956) | |
| Enumeration Date | 2009-02-02 |
| Last Update Date | 2021-08-27 |