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 |