| NPI | 1821236944 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A122978) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA F5529) |
| Enumeration Date | 2009-01-27 |
| Last Update Date | 2024-04-08 |