| NPI | 1366722951 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MD D89675) |
| Additional Taxonomies | 174400000X Specialist |
| 2085N0700X Radiology, Neuroradiology (Licence: MD D89675) | |
| 2085P0229X Radiology, Pediatric Radiology (Licence: MD D89675) | |
| Enumeration Date | 2011-08-26 |
| Last Update Date | 2020-11-04 |