| NPI | 1851944813 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NH 33991) |
| Additional Taxonomies | 2085N0904X (Licence: MA 1021998) |
| Enumeration Date | 2019-07-18 |
| Last Update Date | 2025-05-24 |