| NPI | 1619599776 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IN 01084640A) |
| Additional Taxonomies | 2085N0700X (Licence: CT 1.063422-RES) |
| Enumeration Date | 2020-05-12 |
| Last Update Date | 2022-06-24 |