| NPI | 1760297352 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085P0229X Radiology, Pediatric Radiology (Licence: CA SPI871) |
| Additional Taxonomies | 2085N0700X (Licence: CA SPI871) |
| Enumeration Date | 2025-02-11 |
| Last Update Date | 2025-04-10 |