| NPI | 1477013050 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085N0700X (Licence: MA 1022234) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: TN 64374) |
| Enumeration Date | 2019-03-21 |
| Last Update Date | 2025-05-28 |