| NPI | 1396972352 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CT 53981) |
| Additional Taxonomies | 2085N0700X (Licence: CT 53981) |
| 2085D0003X Radiology, Diagnostic Neuroimaging (Licence: NC 2012--00153) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: GA 84883) | |
| 208600000X Surgery (Licence: SC LL31707) | |
| Enumeration Date | 2009-06-17 |
| Last Update Date | 2022-07-18 |