| NPI | 1073804621 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: CA C168294) |
| Additional Taxonomies | 174400000X Specialist |
| Enumeration Date | 2011-04-29 |
| Last Update Date | 2021-02-10 |