| NPI | 1376778670 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A113149) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MI A113149) |
| Enumeration Date | 2009-05-16 |
| Last Update Date | 2026-04-14 |