| NPI | 1265751259 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: LA 324423) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX q1699) |
| Enumeration Date | 2010-05-31 |
| Last Update Date | 2021-02-23 |