| NPI | 1255527115 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: AZ 47785) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A132173) |
| Enumeration Date | 2007-09-24 |
| Last Update Date | 2019-01-22 |