NPI | 1932697091 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: MN 76413) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MN 76413) |
2085R0202X Radiology, Diagnostic Radiology (Licence: WI 73145-20) | |
Enumeration Date | 2018-04-24 |
Last Update Date | 2024-09-04 |