| NPI | 1932109980 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: MN 40553) |
| Additional Taxonomies | 2085R0204X Radiology Vascular & Interventional Radiology (Licence: MN 40553) |
| 2085B0100X Radiology Body Imaging (Licence: MN 40553) | |
| 2085N0904X Radiology Nuclear Radiology (Licence: MN 40553) | |
| Enumeration Date | 2005-07-29 |
| Last Update Date | 2012-06-26 |