| NPI | 1205397932 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MI 4301505604) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A193493) |
| Enumeration Date | 2019-03-26 |
| Last Update Date | 2025-08-15 |