| NPI | 1063572519 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: DE C1-008357) |
| Additional Taxonomies | 2085N0700X Radiology, Neuroradiology (Licence: DE C1-008357) |
| 174400000X Specialist (Licence: DE C1-0008357) | |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2017-01-30 |