| NPI | 1427031095 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MI 4301055346) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: KY 33764) |
| 2085N0700X Radiology, Neuroradiology (Licence: KY 33764) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 309976-01) | |
| 208D00000X General Practice (Licence: MI 4301055346) | |
| Enumeration Date | 2005-11-28 |
| Last Update Date | 2024-03-02 |