| NPI | 1518265883 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX F1529) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: GA 024935) |
| Enumeration Date | 2011-03-10 |
| Last Update Date | 2011-03-10 |