| NPI | 1033379151 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: AZ 45040) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MN 50759) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: ME 018430) | |
| Enumeration Date | 2008-06-12 |
| Last Update Date | 2019-01-31 |