| NPI | 1437377710 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: CA A110719) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: PA MD434312) |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2023-08-31 |