| NPI | 1215914619 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A87749) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: WI 81812) |
| Enumeration Date | 2005-12-27 |
| Last Update Date | 2023-04-10 |