| NPI | 1659340180 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: MN 50320) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: WI 46158) |
| Enumeration Date | 2006-03-16 |
| Last Update Date | 2021-07-21 |