| NPI | 1477880276 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: MN 52776) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MN 0) |
| Enumeration Date | 2009-11-16 |
| Last Update Date | 2013-09-03 |