| NPI | 1558921080 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MN 67849) |
| Additional Taxonomies | 2085B0100X Radiology, Body Imaging (Licence: IA R-11676) |
| Enumeration Date | 2019-06-17 |
| Last Update Date | 2020-08-27 |