| NPI | 1437418191 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA G89438) | 
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NE 6643) | 
| Enumeration Date | 2012-05-15 | 
| Last Update Date | 2025-09-02 |