| NPI | 1679749287 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: GA 91139) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: DC MD041317) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MD D0076567) | |
| Enumeration Date | 2008-05-03 |
| Last Update Date | 2023-06-02 |