| NPI | 1780846204 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: FL ME119482) |
| Additional Taxonomies | 2085N0700X Radiology Neuroradiology (Licence: FL ME119482) |
| Enumeration Date | 2008-06-26 |
| Last Update Date | 2023-08-14 |