| NPI | 1811135627 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085B0100X Radiology, Body Imaging (Licence: CA 20A12652) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA 20A12652) |
| Enumeration Date | 2009-02-02 |
| Last Update Date | 2025-06-16 |