| NPI | 1104851120 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL 110305) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: GA 45094) |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2022-12-08 |