| NPI | 1588073696 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MN 59742) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MN 108510) |
| Enumeration Date | 2014-08-04 |
| Last Update Date | 2015-09-15 |