| NPI | 1558509166 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA 138448) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CT 048550) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: LA 304319) | |
| Enumeration Date | 2009-02-04 |
| Last Update Date | 2017-02-09 |