| NPI | 1245491505 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085D0003X Radiology, Diagnostic Neuroimaging (Licence: AL L2935R) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME119974) |
| Enumeration Date | 2008-06-19 |
| Last Update Date | 2019-05-03 |