| NPI | 1003235375 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085N0904X Radiology, Nuclear Radiology (Licence: CA A159966) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A159966) |
| Enumeration Date | 2014-04-15 |
| Last Update Date | 2020-07-28 |