| NPI | 1669834719 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX R8699) |
| Additional Taxonomies | 282N00000X General Acute Care Hospital (Licence: IL 125066159) |
| Enumeration Date | 2016-03-27 |
| Last Update Date | 2018-09-12 |