| NPI | 1215249669 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IN 01075374A) | 
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MI 4301097261) | 
| Enumeration Date | 2010-07-13 | 
| Last Update Date | 2016-01-21 |