| NPI | 1366611345 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MN 54330) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CO 48393) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NM MD2012-0574) | |
| Enumeration Date | 2008-02-25 |
| Last Update Date | 2020-09-30 |