| NPI | 1114942372 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: ND 4980) |
| Additional Taxonomies | 208D00000X General Practice (Licence: ND 4980) |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2020-10-21 |