| NPI | 1235295791 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: DC MD15780) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MD D0032023) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: VA 0101039598) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: CA GFE42925) | |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2007-07-08 |