| NPI | 1225327612 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MD D82954) |
| Additional Taxonomies | 282N00000X General Acute Care Hospital |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: DC MD044304) | |
| Enumeration Date | 2011-04-06 |
| Last Update Date | 2017-09-20 |