| NPI | 1538132816 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X (Licence: MN 34924) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MN 34924) |
| Enumeration Date | 2006-02-08 |
| Last Update Date | 2024-02-14 |