| NPI | 1528068723 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: FL ME93120) |
| Additional Taxonomies | 207RM1200X Internal Medicine Magnetic Resonance Imaging (MRI) (Licence: FL ME93120) |
| Enumeration Date | 2005-07-29 |
| Last Update Date | 2019-02-25 |