| NPI | 1275920373 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: UT 9529333-1205) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MT 131997) |
| Enumeration Date | 2015-04-16 |
| Last Update Date | 2024-01-05 |