| NPI | 1558603803 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: PA MD483370) |
| Additional Taxonomies | 2085N0700X Radiology, Neuroradiology (Licence: FL ME165508) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: CT 66848) | |
| Enumeration Date | 2013-03-25 |
| Last Update Date | 2024-03-20 |