| NPI | 1760542112 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MI 4301076440) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A97823) |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2023-03-07 |