| NPI | 1881657070 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL OS8126) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MN 2408) |
| Enumeration Date | 2006-04-10 |
| Last Update Date | 2019-07-19 |