| NPI | 1275584849 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: OK 22604) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OK 22604) |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2023-07-27 |