| NPI | 1689812356 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX Q7587) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A111436) |
| 207R00000X Internal Medicine (Licence: OH 57014972) | |
| Enumeration Date | 2009-02-03 |
| Last Update Date | 2021-12-01 |