| NPI | 1356395776 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: TN DO02105) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: SC 382) |
| 208D00000X General Practice (Licence: GA 55446) | |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2015-07-21 |