| NPI | 1922055730 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME99800) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: OH 35086051) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: OK 26030) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: WI 42462-20) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: TX N5147) | |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2015-11-23 |