| NPI | 1396000451 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A147894) |
| Additional Taxonomies | 2085N0700X (Licence: CA 147894) |
| Enumeration Date | 2012-07-05 |
| Last Update Date | 2026-01-20 |