| NPI | 1124234430 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: KY 46292) |
| Additional Taxonomies | 282N00000X General Acute Care Hospital (Licence: IL 336091782) |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2013-06-26 |