| NPI | 1740572049 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MN 61270) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 265257) |
| Enumeration Date | 2011-05-05 |
| Last Update Date | 2023-11-20 |