| NPI | 1275928749 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: GA 85611) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: VA 0101289858) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: KY C6049) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: AL 45979) | |
| Enumeration Date | 2015-04-01 |
| Last Update Date | 2026-10-01 |