NPI | 1629261375 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 261QR0208X Clinic/Center, Radiology, Mobile |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA FAC33625) |
261QR0207X Clinic/Center, Radiology, Mobile Mammography | |
Enumeration Date | 2007-08-24 |
Last Update Date | 2017-11-06 |