| NPI | 1538360862 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: MI 4301089691) |
| Additional Taxonomies | 2085D0003X Radiology Diagnostic Neuroimaging (Licence: MI 4301089691) |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2019-09-13 |