| NPI | 1386842292 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MI 4301104262) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX N3726) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: WV 22489) | |
| Enumeration Date | 2007-07-03 |
| Last Update Date | 2024-10-29 |