| NPI | 1487606265 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085N0700X (Licence: CT 71451) |
| Additional Taxonomies | 2085D0003X Radiology, Diagnostic Neuroimaging (Licence: NY 208522) |
| 2085N0700X (Licence: CA G75182) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: CA G75182) | |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2022-06-10 |