| NPI | 1932301264 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 253543) |
| Additional Taxonomies | 2085D0003X Radiology, Diagnostic Neuroimaging (Licence: RI LP01133) |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2021-05-26 |