| NPI | 1902888043 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085N0700X Radiology, Neuroradiology (Licence: CA G57579) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA G57579) |
| Enumeration Date | 2005-11-15 |
| Last Update Date | 2009-04-20 |