| NPI | 1326083874 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: WI 36035) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MN 104004) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: IA 38016) | |
| Enumeration Date | 2006-06-18 |
| Last Update Date | 2016-08-02 |