| NPI | 1366694614 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: ND 13186) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MN 104479) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MN 52178) | |
| Enumeration Date | 2008-10-17 |
| Last Update Date | 2021-10-19 |