| NPI | 1902002504 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085N0700X Radiology Neuroradiology (Licence: AZ 46681) |
| Additional Taxonomies | 2085D0003X Radiology Diagnostic Neuroimaging (Licence: AZ 46681) |
| 2085R0202X Radiology Diagnostic Radiology (Licence: AZ 46681) | |
| Enumeration Date | 2007-06-21 |
| Last Update Date | 2022-08-22 |