| NPI | 1508681479 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA SPI917) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 3017522) |
| Enumeration Date | 2024-11-18 |
| Last Update Date | 2026-03-03 |