| NPI | 1578665279 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MD D0053754) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D0053754) |
| 2085B0100X Radiology, Body Imaging (Licence: MD D0053754) | |
| Enumeration Date | 2006-09-02 |
| Last Update Date | 2018-01-11 |