| NPI | 1801356274 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085N0700X (Licence: CA A193327) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A193327) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 125.075343) | |
| Enumeration Date | 2019-03-22 |
| Last Update Date | 2025-09-24 |