| NPI | 1184058315 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX Q9801) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A167948) |
| 2085N0700X (Licence: GA 113000) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: GA 113000) | |
| Enumeration Date | 2013-08-23 |
| Last Update Date | 2026-07-28 |