| NPI | 1851689897 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085N0700X Radiology, Neuroradiology (Licence: TX Q4078) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MS T-2422) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MS 22877) | |
| Enumeration Date | 2011-07-12 |
| Last Update Date | 2016-01-25 |