| NPI | 1295734838 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA 20A6283) |
| Additional Taxonomies | 2085N0700X Radiology, Neuroradiology (Licence: CA 20A6283) |
| Enumeration Date | 2005-07-15 |
| Last Update Date | 2008-08-15 |