| NPI | 1164819512 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: PR 022278) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: PA MT212048) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MD D0088728) | |
| Enumeration Date | 2015-04-23 |
| Last Update Date | 2023-10-25 |