| NPI | 1447460803 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: PA MT182854) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 261558) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2022-04-08 |