| NPI | 1467898569 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: RI MD15109) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 277160) |
| Enumeration Date | 2013-05-15 |
| Last Update Date | 2019-06-20 |