| NPI | 1750918520 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: CA A190890) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: MA 1022129) |
| Enumeration Date | 2020-03-23 |
| Last Update Date | 2025-07-16 |