| NPI | 1528150976 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: MA 226416) |
| Additional Taxonomies | 2085N0904X Radiology Nuclear Radiology (Licence: MA 226416) |
| 2085B0100X Radiology Body Imaging (Licence: MA 226416) | |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2017-01-11 |