| NPI | 1265702492 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: TN 57555) |
| Additional Taxonomies | 2085P0229X Radiology, Pediatric Radiology (Licence: TN 57555) |
| Enumeration Date | 2012-01-04 |
| Last Update Date | 2025-12-12 |