| NPI | 1528095999 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA C54596) |
| Additional Taxonomies | 2085B0100X Radiology, Body Imaging (Licence: IL 036-105676) |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2021-08-18 |