| NPI | 1013381656 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: GA 55567) |
| Additional Taxonomies | 2085B0100X Radiology, Body Imaging (Licence: GA 55567) |
| Enumeration Date | 2015-11-19 |
| Last Update Date | 2017-03-02 |