| NPI | 1396050381 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL UO2409) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MS 25070) |
| Enumeration Date | 2010-08-13 |
| Last Update Date | 2023-09-27 |