| NPI | 1003176710 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A158528) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: LA 343655) |
| Enumeration Date | 2012-05-29 |
| Last Update Date | 2026-04-21 |