| NPI | 1629230875 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME115494) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL TRN12460) |
| Enumeration Date | 2008-06-30 |
| Last Update Date | 2014-05-14 |