| NPI | 1194067660 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: MN 72313) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: NV 18748) |
| Enumeration Date | 2013-03-22 |
| Last Update Date | 2023-01-03 |