| NPI | 1932370350 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 003781) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MI 4301083486) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MD D70126) | |
| Enumeration Date | 2008-03-13 |
| Last Update Date | 2011-09-11 |