| NPI | 1639008519 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085B0100X Radiology, Body Imaging (Licence: CA 1056704) |
| Additional Taxonomies | 2471C3401X Radiologic Technologist, Computed Tomography (Licence: CA 1056704) |
| Enumeration Date | 2026-05-16 |
| Last Update Date | 2026-05-16 |