| NPI | 1669825584 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A171040) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI LP03815) |
| Enumeration Date | 2016-07-15 |
| Last Update Date | 2023-09-26 |