| NPI | 1376579326 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: CA G70112) |
| Additional Taxonomies | 2085B0100X Radiology Body Imaging (Licence: CA G70112) |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2025-07-01 |