| NPI | 1760508899 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0001X (Licence: CA A112524) |
| Additional Taxonomies | 2085R0203X Radiology, Therapeutic Radiology (Licence: CA A112524) |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2014-02-15 |