| NPI | 1154307395 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: WI 50338-020) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MN 44698) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: IA 35767) | |
| Enumeration Date | 2005-12-20 |
| Last Update Date | 2022-08-15 |