| NPI | 1275775207 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 2085B0100X Radiology, Body Imaging (Licence: CA A118551) | 
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A118551) | 
| Enumeration Date | 2009-04-06 | 
| Last Update Date | 2024-04-09 |