| NPI | 1891904165 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MN 52684) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: IA 38047) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: WI 53684) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: IA R-7296) | |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2017-10-20 |