| NPI | 1679033807 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A182186) |
| Additional Taxonomies | 2085N0700X (Licence: CA A182186) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NC 2025-00629) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MD D0102515) | |
| Enumeration Date | 2019-03-22 |
| Last Update Date | 2025-04-07 |