| NPI | 1457313017 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A50196) |
| Additional Taxonomies | 2085N0904X (Licence: CA A50196) |
| Enumeration Date | 2006-04-06 |
| Last Update Date | 2007-10-04 |