| NPI | 1760463194 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085N0700X (Licence: CA G50433) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA G50433) |
| Enumeration Date | 2005-11-11 |
| Last Update Date | 2011-10-10 |