| NPI | 1841340429 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME134615) |
| Additional Taxonomies | 2085N0700X (Licence: PR 14157) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: GA 103277) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: PR 14157) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: VA 0101283919) | |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2025-09-04 |