| NPI | 1982711263 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: GA 037178) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: SC 20211) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: AL 00020561) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: CA G62803) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: OR MD23815) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 171310) | |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2017-09-14 |