| NPI | 1629017512 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A44196) |
| Additional Taxonomies | 174400000X Specialist (Licence: CA A44196) |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2018-08-20 |