| NPI | 1750404380 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: TX N3321) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: GA 54674) |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2012-06-21 |