| 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 |