| NPI | 1053342212 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA RHL00161349) |
| Additional Taxonomies | 208D00000X General Practice (Licence: CA G87087) |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2023-03-07 |