| NPI | 1467860460 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 288353) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: PR 31406) |
| Enumeration Date | 2014-07-23 |
| Last Update Date | 2024-04-23 |