| NPI | 1104089606 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A110702) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NE 5876) |
| Enumeration Date | 2008-07-03 |
| Last Update Date | 2014-07-22 |