| NPI | 1104072974 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: CO CDRH.0054631) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: CA A110874) |
| Enumeration Date | 2008-08-13 |
| Last Update Date | 2023-05-01 |