| NPI | 1679006266 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: WA MD61551170) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A186541) |
| Enumeration Date | 2017-04-10 |
| Last Update Date | 2025-02-19 |