| NPI | 1164660791 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085N0700X Radiology, Neuroradiology (Licence: TN 47060) |
| Additional Taxonomies | 2085N0700X Radiology, Neuroradiology (Licence: MA 238762) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: TX N6859) | |
| Enumeration Date | 2009-02-04 |
| Last Update Date | 2016-11-11 |