| NPI | 1851503270 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: PA MD432797) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: PA MT181703) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MD D0066582) | |
| Enumeration Date | 2007-05-06 |
| Last Update Date | 2009-08-14 |