| NPI | 1548495682 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085N0700X Radiology, Neuroradiology (Licence: WV 32730) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: AZ 49197) |
| Enumeration Date | 2009-05-19 |
| Last Update Date | 2023-10-13 |