| NPI | 1669723490 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX R1632) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: PR 014466-I) |
| Enumeration Date | 2012-09-19 |
| Last Update Date | 2018-10-30 |