| NPI | 1780600254 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: MN 64440) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: MO 2006010974) |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2020-08-20 |