| NPI | 1487640462 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CO 46302) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA G73834) |
| Enumeration Date | 2005-09-23 |
| Last Update Date | 2026-04-06 |