| NPI | 1851343081 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA G84142) |
| Additional Taxonomies | 174400000X Specialist (Licence: VA 0101-238974) |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2007-12-12 |