| NPI | 1659326460 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: CA A90535) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: CA A900535) |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2011-03-02 |