| NPI | 1922121607 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: TX P0873) |
| Additional Taxonomies | 2085N0700X Radiology Neuroradiology (Licence: TX P0873) |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2023-07-22 |