| NPI | 1851407787 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A82201) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 152382) |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2025-06-14 |