| NPI | 1730107913 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: GA 50543) |
| Additional Taxonomies | 174400000X Specialist (Licence: GA 050543) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2021-06-22 |