| NPI | 1588981914 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A142447) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: WI 56244-020) |
| Enumeration Date | 2010-04-25 |
| Last Update Date | 2021-07-08 |