| NPI | 1043945033 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085N0700X (Licence: GA 14628) |
| Additional Taxonomies | 2085D0003X Radiology, Diagnostic Neuroimaging (Licence: GA 14628) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: GA 14628) | |
| Enumeration Date | 2022-07-22 |
| Last Update Date | 2022-07-22 |