| NPI | 1417062670 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085N0700X Radiology, Neuroradiology (Licence: CO 63153) |
| Additional Taxonomies | 2085D0003X Radiology, Diagnostic Neuroimaging (Licence: PA MD448518) |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2020-03-02 |