| NPI | 1700179223 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085N0700X Radiology Neuroradiology (Licence: PR 19518) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: FL ME129812) |
| Enumeration Date | 2011-05-17 |
| Last Update Date | 2020-05-18 |