| NPI | 1629123872 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A97969) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: TN 43538) |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2008-08-22 |