| NPI | 1467539908 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MN 64963) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 219853) |
| 2085N0700X Radiology, Neuroradiology (Licence: MA 219853) | |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2020-08-20 |