| NPI | 1285169714 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A160128) |
| Additional Taxonomies | 2085N0700X (Licence: UT 13276869-1205) |
| Enumeration Date | 2017-04-21 |
| Last Update Date | 2025-09-02 |