| NPI | 1700996527 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085N0700X Radiology, Neuroradiology (Licence: CA C55431) |
| Additional Taxonomies | 2085N0700X Radiology, Neuroradiology (Licence: WA MD00046314) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2021-11-22 |