| NPI | 1366737405 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: VA 0101252345) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: GU MTL-2019-003) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: GU M-2159) | |
| Enumeration Date | 2011-06-16 |
| Last Update Date | 2021-09-09 |