| NPI | 1326466681 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME128920) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MD D87366) |
| Enumeration Date | 2014-04-03 |
| Last Update Date | 2020-10-16 |