| NPI | 1104087105 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME133611) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MS 19155) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: TN 43654) | |
| Enumeration Date | 2008-06-23 |
| Last Update Date | 2022-07-21 |