| NPI | 1437120839 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: MN 26745) |
| Additional Taxonomies | 2085P0229X Radiology Pediatric Radiology (Licence: FL ME66122) |
| 2085R0202X Radiology Diagnostic Radiology (Licence: FL ME66122) | |
| Enumeration Date | 2006-02-01 |
| Last Update Date | 2020-08-19 |