| NPI | 1467510040 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A36348) |
| Additional Taxonomies | 208D00000X General Practice (Licence: CA A36348) |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2014-09-25 |