| NPI | 1558333245 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: WV 33489) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 134569) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME94239) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NJ 25MA11113700) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: AL 00004559) | |
| Enumeration Date | 2006-02-06 |
| Last Update Date | 2024-03-04 |