| NPI | 1376955864 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MN 64774) |
| Additional Taxonomies | 2085N0700X Radiology, Neuroradiology (Licence: MN 64774) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MI 5101021206) | |
| Enumeration Date | 2014-06-02 |
| Last Update Date | 2020-12-03 |