| NPI | 1285053777 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NC 2021-01639) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A161780) |
| Enumeration Date | 2014-04-10 |
| Last Update Date | 2021-09-15 |