| NPI | 1457748527 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085N0700X (Licence: GA 91243) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A147908) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: GA 91243) | |
| Enumeration Date | 2015-04-16 |
| Last Update Date | 2022-04-08 |