| NPI | 1508346842 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: PA LT000846) |
| Additional Taxonomies | 2085D0003X Radiology Diagnostic Neuroimaging (Licence: PA MT215379) |
| Enumeration Date | 2018-08-16 |
| Last Update Date | 2020-06-17 |