| NPI | 1306009980 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085N0700X Radiology Neuroradiology (Licence: MA 264830) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: MA 264830) |
| 2085R0202X Radiology Diagnostic Radiology (Licence: WA MD60382974) | |
| Enumeration Date | 2008-07-03 |
| Last Update Date | 2023-09-18 |