| NPI | 1942313580 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: OH 35099614) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA R7926) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: VA 0101256979) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NJ 25MA09036400) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 263933-1) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: PA MD445083) | |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2014-10-14 |