| NPI | 1558488387 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX M5270) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A93683) |
| Enumeration Date | 2007-03-25 |
| Last Update Date | 2016-05-26 |