| NPI | 1275840720 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: PR 19018) |
| Additional Taxonomies | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: PR 19018) |
| 208D00000X General Practice (Licence: PR 19018) | |
| Enumeration Date | 2010-09-04 |
| Last Update Date | 2024-11-21 |