| NPI | 1235358615 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MN 51152) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: GA 068421) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: AZ 54371) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: IA MD-44936) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME133930) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: WI 67002) | |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2020-08-14 |