| NPI | 1750673190 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CO 57920) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: KS 04-39662) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: RI MD14485) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: GA 75439) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NE 29787) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: HI MD18982) | |
| Enumeration Date | 2011-05-04 |
| Last Update Date | 2022-12-09 |