| NPI | 1184984833 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 274488) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL TRN17296) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 286312-1) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME 120785) | |
| Enumeration Date | 2012-05-29 |
| Last Update Date | 2023-08-29 |