| NPI | 1609165455 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NC 311171) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A123967) |
| Enumeration Date | 2011-04-01 |
| Last Update Date | 2023-05-11 |