| NPI | 1538650171 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 290419) |
| Additional Taxonomies | 207U00000X Nuclear Medicine (Licence: MA 290419) |
| 2085N0700X Radiology, Neuroradiology (Licence: MA 290419) | |
| Enumeration Date | 2018-05-18 |
| Last Update Date | 2023-08-23 |