| NPI | 1720212582 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: GA 066064) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 229249) |
| Enumeration Date | 2009-05-08 |
| Last Update Date | 2018-10-30 |