| NPI | 1194081505 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME134571) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: DC 2686360) |
| Enumeration Date | 2012-04-10 |
| Last Update Date | 2020-04-07 |