| NPI | 1255431524 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MN 51589) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: WI 40223) |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2011-05-19 |