| NPI | 1154611432 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085D0003X Radiology, Diagnostic Neuroimaging (Licence: CA A146627) |
| Additional Taxonomies | 2085N0700X (Licence: CA A146627) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A146627) | |
| Enumeration Date | 2011-04-07 |
| Last Update Date | 2024-04-07 |