| NPI | 1467741538 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: VA 0101268220) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: WA MD60382388) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: CT 054897) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: OR MD223089) | |
| Enumeration Date | 2011-03-29 |
| Last Update Date | 2025-06-09 |