| NPI | 1043664881 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA 20A18671) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 341234) |
| Enumeration Date | 2016-04-18 |
| Last Update Date | 2026-01-15 |