| NPI | 1932603479 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 1019128) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A165778) |
| Enumeration Date | 2018-03-20 |
| Last Update Date | 2024-06-11 |