| NPI | 1982046868 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: OR MD181300) |
| Additional Taxonomies | 2085N0700X Radiology, Neuroradiology (Licence: IA R 9633) |
| Enumeration Date | 2013-07-22 |
| Last Update Date | 2018-03-17 |