| NPI | 1720153075 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MN 48435) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: WI 60206) |
| Enumeration Date | 2006-11-22 |
| Last Update Date | 2022-03-03 |