| NPI | 1376786798 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MN 59332) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: WI 61893) |
| Enumeration Date | 2009-04-15 |
| Last Update Date | 2020-08-12 |