| NPI | 1366564809 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: TN 13698) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MS 09608) |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2023-09-21 |