| NPI | 1932232394 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: VA 0101250658) |
| Additional Taxonomies | 2085N0700X Radiology Neuroradiology (Licence: CA A108194) |
| 2085R0202X Radiology Diagnostic Radiology (Licence: MD D0087974) | |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2020-01-27 |