| NPI | 1568696573 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: WI 63944) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MN 54804) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: WI 63944-20) | |
| Enumeration Date | 2009-05-05 |
| Last Update Date | 2020-09-14 |