| NPI | 1356440481 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: AZ 43205) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NC 2018-00614) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MN 49027) | |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2018-06-13 |