| NPI | 1043629504 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085D0003X Radiology, Diagnostic Neuroimaging (Licence: CA A160034) |
| Additional Taxonomies | 2085D0003X Radiology, Diagnostic Neuroimaging (Licence: FL ME163860) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A160034) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NV 21122) | |
| Enumeration Date | 2014-08-10 |
| Last Update Date | 2023-10-03 |