| NPI | 1548341563 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME144777) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: OR MD27283) |
| 2085N0700X Radiology, Neuroradiology (Licence: FL ME144777) | |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2023-01-12 |