| NPI | 1174656110 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A116673) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: DE C7-0003475) |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2012-09-14 |