| NPI | 1992771307 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A70121) |
| Additional Taxonomies | 2085B0100X Radiology, Body Imaging (Licence: CA A70121) |
| Enumeration Date | 2006-02-24 |
| Last Update Date | 2007-09-10 |