| NPI | 1801844048 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CT 51361) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 81769) |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2018-03-17 |