| NPI | 1184984155 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: AR E-8751) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX R3115) |
| Enumeration Date | 2012-05-23 |
| Last Update Date | 2024-08-12 |