| NPI | 1114075652 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085N0700X Radiology, Neuroradiology (Licence: CA 20A8266) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA 20A8266) |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2022-02-11 |