| NPI | 1114976578 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A52411) |
| Additional Taxonomies | 174400000X Specialist (Licence: CA A3847231) |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2015-08-03 |