| NPI | 1437388378 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: MN 53475) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: SC LL31720) |
| Enumeration Date | 2009-07-14 |
| Last Update Date | 2021-07-21 |