| NPI | 1912972092 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME104889) |
| Additional Taxonomies | 174400000X Specialist (Licence: PA MD421461) |
| 2085D0003X Radiology, Diagnostic Neuroimaging (Licence: FL ME104889) | |
| Enumeration Date | 2006-02-22 |
| Last Update Date | 2016-07-08 |