| NPI | 1538323464 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085N0700X Radiology, Neuroradiology (Licence: PA MD458355) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: WA MD60527298) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: VT 042.0013337) | |
| Enumeration Date | 2008-07-10 |
| Last Update Date | 2017-03-21 |