| NPI | 1700349529 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: VA 0101286279) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A182214) |
| Enumeration Date | 2019-04-09 |
| Last Update Date | 2025-08-12 |