| NPI | 1437385374 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: PA MD454076) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CT 51408) |
| Enumeration Date | 2009-06-05 |
| Last Update Date | 2016-08-20 |