| NPI | 1013419076 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A185410) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NE 31950) |
| Enumeration Date | 2018-03-06 |
| Last Update Date | 2024-08-27 |