| NPI | 1255695763 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 269620) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 252370) |
| Enumeration Date | 2012-06-28 |
| Last Update Date | 2017-02-23 |