| NPI | 1790079176 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A125590) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 248582) |
| 2085N0700X Radiology, Neuroradiology (Licence: CA A125590) | |
| Enumeration Date | 2011-06-03 |
| Last Update Date | 2017-06-12 |