| NPI | 1659582989 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: PA MD466198) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A111150) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: RI MD16100) | |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2019-03-26 |