| NPI | 1700220050 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085N0700X Radiology Neuroradiology (Licence: TN 54033) |
| Additional Taxonomies | 2085N0700X Radiology Neuroradiology (Licence: MS 24336) |
| 2085N0700X Radiology Neuroradiology (Licence: GA 010228) | |
| 2085R0202X Radiology Diagnostic Radiology (Licence: TN 54033) | |
| 2085R0202X Radiology Diagnostic Radiology (Licence: MS 24336) | |
| Enumeration Date | 2013-04-17 |
| Last Update Date | 2019-06-18 |