| NPI | 1164974382 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: LA 332696) |
| Additional Taxonomies | 2085N0904X Radiology, Nuclear Radiology (Licence: LA 332696) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: WA 60869827) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: LA 332696) | |
| Enumeration Date | 2016-11-04 |
| Last Update Date | 2022-08-09 |