| NPI | 1073933073 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: OH 35.148724) |
| Additional Taxonomies | 2085N0700X Radiology, Neuroradiology (Licence: NJ 25MA11173300) |
| 2085N0700X Radiology, Neuroradiology (Licence: PA MD472507) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 277934) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NJ 25MA11173300) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: PA MD472507) | |
| Enumeration Date | 2014-04-17 |
| Last Update Date | 2024-06-05 |