NPI | 1205290046 |
---|---|
Former Name | SIGNE K. LARSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2085N0700X Radiology, Neuroradiology (Licence: AR E-11434) |
Additional Taxonomies | 2085N0700X Radiology, Neuroradiology (Licence: UT 12229853-1205) |
2085R0202X Radiology, Diagnostic Radiology (Licence: AR E-11434) | |
Enumeration Date | 2016-04-07 |
Last Update Date | 2024-08-12 |