| NPI | 1124587241 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A202010) |
| Additional Taxonomies | 2085B0100X Radiology, Body Imaging (Licence: CA A202010) |
| Enumeration Date | 2019-03-18 |
| Last Update Date | 2025-09-29 |