| NPI | 1598063562 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX BB20036710) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX p5874) |
| Enumeration Date | 2011-03-01 |
| Last Update Date | 2025-04-15 |