| NPI | 1306838644 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MN 42939) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL 041790) |
| Enumeration Date | 2005-08-22 |
| Last Update Date | 2011-08-29 |