| NPI | 1669412912 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: PR 011394) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: FL ME69641) |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2023-10-20 |