| NPI | 1740234459 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: AL 27967) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: GA 044615) |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2021-09-08 |