| NPI | 1225349764 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MN 54631) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NE 6248) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MN 105669) | |
| Enumeration Date | 2010-06-30 |
| Last Update Date | 2020-09-28 |