| NPI | 1679916423 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MN 65372) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: WI 69055) |
| Enumeration Date | 2013-04-11 |
| Last Update Date | 2021-07-22 |