| NPI | 1932330222 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A129741) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NE 6142) |
| Enumeration Date | 2009-08-04 |
| Last Update Date | 2025-12-02 |