| NPI | 1326363102 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CT 56389) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: WI 69321) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MN 63316) | |
| Enumeration Date | 2010-04-05 |
| Last Update Date | 2021-04-26 |