| NPI | 1811931025 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ME99550) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME99550) |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2025-06-13 |