| NPI | 1689363780 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085B0100X Radiology, Body Imaging (Licence: AZ R79952) |
| Additional Taxonomies | 2085B0100X Radiology, Body Imaging (Licence: AZ 70627) |
| Enumeration Date | 2023-05-04 |
| Last Update Date | 2024-06-21 |