| NPI | 1689806069 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: TN 72654) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX N6112) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 250695) | |
| Enumeration Date | 2009-08-18 |
| Last Update Date | 2024-11-12 |