| NPI | 1295877702 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MN 53312) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MN 19422) |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2013-03-26 |