| NPI | 1558397430 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085N0700X (Licence: CA A85187) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A85187) |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2019-12-16 |