| NPI | 1356505903 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: FL ME0113783) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: PR 26963-R) |
| Enumeration Date | 2008-07-14 |
| Last Update Date | 2023-07-05 |