| NPI | 1689633885 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MN 50231) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: IA 21623) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MO R5H11) | |
| Enumeration Date | 2006-03-17 |
| Last Update Date | 2011-04-21 |