| NPI | 1619504644 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A189978) |
| Additional Taxonomies | 2085N0700X (Licence: CA A189978) |
| Enumeration Date | 2020-03-27 |
| Last Update Date | 2026-06-29 |