| NPI | 1518036029 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA 2OA8285) |
| Additional Taxonomies | 208D00000X General Practice (Licence: CA 2OA8285) |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2015-09-01 |