| NPI | 1750877262 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085N0904X (Licence: CA C156733) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA C156733) |
| 207U00000X Nuclear Medicine (Licence: CA C156733) | |
| 2085P0229X Radiology, Pediatric Radiology (Licence: CA C156733) | |
| Enumeration Date | 2018-07-09 |
| Last Update Date | 2024-04-08 |