| NPI | 1588766414 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 23007) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME62161) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MD D0060311) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: DC MD034273) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: VA 0101234734) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NJ 25MA0808400) | |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2007-07-08 |