| NPI | 1689651606 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: GA 028762) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 289819) |
| Enumeration Date | 2005-12-30 |
| Last Update Date | 2024-09-24 |