| NPI | 1588870380 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085N0700X Radiology Neuroradiology (Licence: WI 51935) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: MO 2006014606) |
| 2085R0204X Radiology Vascular & Interventional Radiology (Licence: WI 51935) | |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2018-03-17 |