| NPI | 1588619233 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A71753) |
| Additional Taxonomies | 2085N0700X Radiology, Neuroradiology (Licence: CA A71753) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: CO 44803) | |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2007-12-12 |