| NPI | 1750762183 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NV 28461) |
| Additional Taxonomies | 2085N0700X (Licence: CA A144180) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A144180) | |
| Enumeration Date | 2015-06-11 |
| Last Update Date | 2025-11-13 |