| NPI | 1881863389 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0001X (Licence: SC 15473) |
| Additional Taxonomies | 2085R0203X Radiology, Therapeutic Radiology (Licence: SC 15473) |
| Enumeration Date | 2008-02-28 |
| Last Update Date | 2022-03-10 |