| NPI | 1659688679 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MN 63856) |
| Additional Taxonomies | 2085N0904X Radiology, Nuclear Radiology (Licence: MD D81643) |
| Enumeration Date | 2010-09-13 |
| Last Update Date | 2024-01-29 |