| NPI | 1326022021 |
|---|---|
| Former Name | GRACE QUIZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: TN 34116) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME0081317) |
| Enumeration Date | 2005-12-06 |
| Last Update Date | 2018-10-29 |