| NPI | 1164680187 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: CA A135741) |
| Additional Taxonomies | 2085N0700X Radiology Neuroradiology (Licence: MA 251307) |
| 2085R0202X Radiology Diagnostic Radiology (Licence: MA 251307) | |
| Enumeration Date | 2008-05-27 |
| Last Update Date | 2015-07-27 |