| NPI | 1538593298 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085N0700X Radiology Neuroradiology (Licence: GA 97550) |
| Additional Taxonomies | 2085N0700X Radiology Neuroradiology (Licence: AZ TL127) |
| 2085R0202X Radiology Diagnostic Radiology (Licence: AZ 53073) | |
| Enumeration Date | 2013-08-29 |
| Last Update Date | 2023-11-13 |