| NPI | 1568567741 |
|---|---|
| Former Name | GABRIELLE BOSLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA G77639) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036097300) |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2020-11-19 |