| NPI | 1497792873 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2085N0700X  (Licence: CA G85328)  | 
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA G85328)  | 
| Enumeration Date | 2006-06-02 | 
| Last Update Date | 2008-06-16 |