| NPI | 1972037349 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MD D96791) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A175198) |
| Enumeration Date | 2017-04-12 |
| Last Update Date | 2023-07-24 |