| NPI | 1417483900 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: DE C1-0026115) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MN 71368) |
| Enumeration Date | 2017-05-03 |
| Last Update Date | 2024-01-16 |