| NPI | 1770540486 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085N0700X Radiology Neuroradiology (Licence: MA 79576) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: MA 79576) |
| Enumeration Date | 2006-04-27 |
| Last Update Date | 2012-01-05 |