| NPI | 1508910233 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX G2327) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NM 75-114) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: CA G37472) | |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2007-07-08 |