| NPI | 1457545956 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: PR 26,606-R) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: FL ME149171) |
| Enumeration Date | 2007-08-28 |
| Last Update Date | 2024-08-14 |