| NPI | 1942662143 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: SD 13358) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A151815) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: WY TL7145) | |
| Enumeration Date | 2016-03-25 |
| Last Update Date | 2022-12-04 |