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