| NPI | 1659649473 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MI 4301098156) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX N4336) |
| Enumeration Date | 2011-12-07 |
| Last Update Date | 2022-04-26 |