| NPI | 1720066293 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085N0700X Radiology, Neuroradiology (Licence: WA MD00022896) |
| Additional Taxonomies | 2085N0700X Radiology, Neuroradiology (Licence: ID M-12423) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: WA MD00022896) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: ID M-12423) | |
| Enumeration Date | 2006-01-05 |
| Last Update Date | 2019-08-05 |