| NPI | 1811348626 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 286528) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301110547) |
| 2085N0700X Radiology, Neuroradiology (Licence: WV 28852) | |
| Enumeration Date | 2016-06-23 |
| Last Update Date | 2024-09-09 |