| NPI | 1164210985 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: PA LT001079) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: PA AA0006088537) |
| Enumeration Date | 2025-04-30 |
| Last Update Date | 2025-06-26 |