| NPI | 1225245590 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A119770) |
| Additional Taxonomies | 2085D0003X Radiology, Diagnostic Neuroimaging (Licence: DE C7-0003719.) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MI 4301097862) | |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2020-12-15 |