| NPI | 1518408723 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A190092) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 291655) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 275704) | |
| Enumeration Date | 2017-03-20 |
| Last Update Date | 2025-05-17 |