| NPI | 1518408723 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 291655) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 275704) |
| Enumeration Date | 2017-03-20 |
| Last Update Date | 2022-05-10 |