| NPI | 1134533417 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085N0700X Radiology Neuroradiology (Licence: UT 11262272-1204) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: UT 11262272-1204) |
| Enumeration Date | 2014-06-16 |
| Last Update Date | 2020-05-05 |