| NPI | 1306264429 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: TN 65006) |
| Additional Taxonomies | 2085D0003X Radiology Diagnostic Neuroimaging (Licence: CA A159383) |
| 2085N0700X Radiology Neuroradiology (Licence: TN 65006) | |
| Enumeration Date | 2014-04-05 |
| Last Update Date | 2025-03-19 |