| NPI | 1154419539 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MD D63556) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: PA MD059102L) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: TX K1348) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: DC MD035805) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: VA 0101238693) | |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2007-07-08 |