| NPI | 1225031875 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MN 46479) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: WI 39108) |
| Enumeration Date | 2005-05-27 |
| Last Update Date | 2010-11-01 |