| NPI | 1750685806 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX S3157) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 249587) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: CT 049615) | |
| 2085N0700X Radiology, Neuroradiology (Licence: NY 287235) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME115073) | |
| Enumeration Date | 2011-01-04 |
| Last Update Date | 2023-01-06 |