| NPI | 1568670917 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MO 2025021480) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A130188) |
| 2085N0700X (Licence: CA A130188) | |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2025-10-01 |