| NPI | 1639635345 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0203X Radiology, Therapeutic Radiology (Licence: MD O0000591) |
| Additional Taxonomies | 2085R0203X Radiology, Therapeutic Radiology (Licence: WV 10202) |
| Enumeration Date | 2019-02-18 |
| Last Update Date | 2019-02-18 |