| NPI | 1588826275 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 202D00000X Integrative Medicine (Licence: FL ME106295) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 254344) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: CT 051755) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NJ 25MA09288200) | |
| Enumeration Date | 2008-06-25 |
| Last Update Date | 2022-05-15 |