| NPI | 1114412608 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME174569) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A165329) |
| Enumeration Date | 2018-06-27 |
| Last Update Date | 2025-07-03 |