| NPI | 1003294042 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX 46824) |
| Additional Taxonomies | 2085N0700X Radiology, Neuroradiology (Licence: TX 46824) |
| Enumeration Date | 2015-05-11 |
| Last Update Date | 2020-03-12 |