| NPI | 1275997702 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NC 2018-01511) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NC 218089) |
| Enumeration Date | 2016-04-11 |
| Last Update Date | 2022-09-02 |