| NPI | 1104899848 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX J3780) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME54389) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: GA 019448) | |
| Enumeration Date | 2006-02-13 |
| Last Update Date | 2009-12-14 |