| NPI | 1699709618 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085N0700X Radiology, Neuroradiology (Licence: NH LT 3060) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NH LT 3060) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 223921) | |
| 2085N0700X Radiology, Neuroradiology (Licence: MA 223921) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: GU M-2237) | |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2021-04-09 |