| NPI | 1235456765 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IA DO-04858) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: WI 56223-021) |
| Enumeration Date | 2010-04-23 |
| Last Update Date | 2019-12-31 |