| NPI | 1750366829 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME154026) |
| Additional Taxonomies | 2085N0700X Radiology, Neuroradiology (Licence: FL ME154026) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: IN 01044773A) | |
| Enumeration Date | 2005-12-13 |
| Last Update Date | 2022-01-31 |