| NPI | 1215104310 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 250393) |
| Additional Taxonomies | 2085N0700X Radiology, Neuroradiology (Licence: MA 250393) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: CT 67338) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: KY 55176) | |
| Enumeration Date | 2008-05-08 |
| Last Update Date | 2021-04-15 |