| NPI | 1053862284 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A164837) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A112912) |
| Enumeration Date | 2016-10-24 |
| Last Update Date | 2023-12-20 |