| NPI | 1710270384 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MN 55637) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MN 106396) |
| Enumeration Date | 2011-05-16 |
| Last Update Date | 2020-08-14 |