| NPI | 1629023239 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: MO 2009008972) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: MD D0063205) |
| 2085N0700X Radiology Neuroradiology (Licence: MO 2009008972) | |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2013-12-04 |