| NPI | 1851952774 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX 47089) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX bp10067143) |
| Enumeration Date | 2019-06-21 |
| Last Update Date | 2020-06-26 |