| NPI | 1174721617 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA C169366) |
| Additional Taxonomies | 2085R0001X (Licence: CA C169366) |
| Enumeration Date | 2007-07-06 |
| Last Update Date | 2025-10-27 |