| NPI | 1619504727 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A180323) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NV 29344) |
| Enumeration Date | 2020-03-26 |
| Last Update Date | 2026-07-01 |