| NPI | 1811720337 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085B0100X Radiology Body Imaging (Licence: IA SP-0283) |
| Additional Taxonomies | 2085D0003X Radiology Diagnostic Neuroimaging (Licence: IA SP-0283) |
| 2085N0700X Radiology Neuroradiology (Licence: IA SP-0283) | |
| 2085P0229X Radiology Pediatric Radiology (Licence: IA SP-0283) | |
| 2085R0202X Radiology Diagnostic Radiology (Licence: IA SP-0283) | |
| Enumeration Date | 2024-08-21 |
| Last Update Date | 2024-08-21 |