| NPI | 1750670154 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: GA 077982) |
| Additional Taxonomies | 2085N0700X Radiology, Neuroradiology (Licence: GA 077982) |
| Enumeration Date | 2011-04-06 |
| Last Update Date | 2023-05-01 |