| NPI | 1093764565 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085N0700X Radiology, Neuroradiology (Licence: NC 2014-01400) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NC 2014-01400) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: FL 98050) | |
| 2085N0700X Radiology, Neuroradiology (Licence: CA A103127) | |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2021-10-06 |