| NPI | 1093344087 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A202346) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NM MD2025-1107) |
| 2085N0700X (Licence: CA A202346) | |
| Enumeration Date | 2020-04-02 |
| Last Update Date | 2026-05-18 |