| NPI | 1710150321 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MN 57568) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: WI 52783) |
| Enumeration Date | 2008-04-04 |
| Last Update Date | 2014-08-12 |