| NPI | 1407386824 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MN 71832) |
| Additional Taxonomies | 2085B0100X Radiology, Body Imaging (Licence: WA 60717172) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: UT 10839934-1252) | |
| Enumeration Date | 2017-06-18 |
| Last Update Date | 2023-01-12 |