| NPI | 1164591616 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: CA A89387) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: AR E-16348) |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2023-06-20 |