NPI | 1902064819 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2085N0700X Radiology Neuroradiology (Licence: MI 4301091174) |
Additional Taxonomies | 2085N0700X Radiology Neuroradiology (Licence: NY 292136) |
2085D0003X Radiology Diagnostic Neuroimaging (Licence: MI 4301091174) | |
Enumeration Date | 2008-05-28 |
Last Update Date | 2023-06-29 |