| NPI | 1992124226 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NC 2021-00541) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A160410) |
| Enumeration Date | 2014-04-15 |
| Last Update Date | 2023-05-10 |