| NPI | 1417474016 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: DE C1-0025539) |
| Additional Taxonomies | 2085N0700X (Licence: DE C1-0025539) |
| Enumeration Date | 2017-08-24 |
| Last Update Date | 2023-06-15 |