| NPI | 1588003461 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: AR E-12053) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MO 2013020655) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: IN 11018004A) | |
| Enumeration Date | 2013-06-24 |
| Last Update Date | 2019-09-25 |