| NPI | 1083020820 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: WA MD61036239) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A159414) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: TX T7407) | |
| Enumeration Date | 2014-07-01 |
| Last Update Date | 2025-01-31 |