| NPI | 1952396566 |
|---|---|
| Former Name | ELIZABETH ALISON GILSTAD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085B0100X Radiology, Body Imaging (Licence: DC MD32964) |
| Additional Taxonomies | 2085B0100X Radiology, Body Imaging (Licence: CA AFE51173) |
| Enumeration Date | 2005-09-20 |
| Last Update Date | 2007-08-23 |