| NPI | 1841587474 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A160478) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MI 4301098549) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: TX R4074) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NC 2016-01119) | |
| Enumeration Date | 2011-07-04 |
| Last Update Date | 2021-11-18 |