| NPI | 1639156326 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA 00A983120) |
| Additional Taxonomies | 2085N0700X Radiology, Neuroradiology (Licence: CA A98312) |
| Enumeration Date | 2005-12-23 |
| Last Update Date | 2024-03-21 |