| NPI | 1427058841 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: MN 40504) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MN 40504) |
| Enumeration Date | 2005-07-28 |
| Last Update Date | 2019-01-08 |