| NPI | 1265610463 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A102053) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A102053) |
| Enumeration Date | 2008-02-11 |
| Last Update Date | 2023-10-16 |