| NPI | 1295997682 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NC 2011-00204) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MS 19847) |
| Enumeration Date | 2008-06-27 |
| Last Update Date | 2022-02-11 |