| NPI | 1114917275 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: MA 75122) |
| Additional Taxonomies | 2085N0700X Radiology Neuroradiology (Licence: MA 75122) |
| Enumeration Date | 2005-10-28 |
| Last Update Date | 2011-10-18 |