| NPI | 1477645489 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: CA 20A7551) |
| Additional Taxonomies | 174400000X Specialist (Licence: NV 513) |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2018-01-15 |