| NPI | 1396239703 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MI 5151013312) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MI 5101024186) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: GA 95566) | |
| Enumeration Date | 2018-06-19 |
| Last Update Date | 2023-06-21 |