| NPI | 1326224239 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: VA 0101265638) |
| Additional Taxonomies | 2085N0700X Radiology, Neuroradiology (Licence: VA 0101265638) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MD 22805) | |
| Enumeration Date | 2008-01-10 |
| Last Update Date | 2020-09-28 |