| NPI | 1356446835 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085N0700X (Licence: CA A55744) |
| Additional Taxonomies | 2085B0100X Radiology, Body Imaging (Licence: CA A55744) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A55744) | |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2014-02-17 |