| NPI | 1740642883 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NC 2022-01163) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A171706) |
| Enumeration Date | 2016-03-28 |
| Last Update Date | 2022-09-01 |