| NPI | 1528334877 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A118504) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 292171-1) |
| Enumeration Date | 2012-03-30 |
| Last Update Date | 2025-08-29 |