| NPI | 1124238761 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A121403) |
| Additional Taxonomies | 2085N0700X Radiology, Neuroradiology (Licence: CA A121403) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: IA R-7744) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MN 53912) | |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2023-09-05 |