| NPI | 1245351733 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MD D0067062) |
| Additional Taxonomies | 2085N0700X Radiology, Neuroradiology (Licence: MD D0067062) |
| 2085N0700X Radiology, Neuroradiology (Licence: MI 4301077422) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MI 4301077422) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: CT 62681) | |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2022-11-01 |