| NPI | 1225051311 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: MN 48926) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: MN 102539) |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2020-08-14 |