| NPI | 1023351533 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MN 66754) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MO 2014041577) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: UT 11203758-1205) | |
| Enumeration Date | 2013-04-03 |
| Last Update Date | 2020-02-12 |