| NPI | 1922687375 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085N0700X Radiology, Neuroradiology (Licence: MA 286539) |
| Additional Taxonomies | 2085D0003X Radiology, Diagnostic Neuroimaging (Licence: MA 286539) |
| Enumeration Date | 2021-04-05 |
| Last Update Date | 2021-04-05 |