| NPI | 1972609360 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0203X Radiology, Therapeutic Radiology (Licence: MN 21846) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: WI 71675) |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2022-11-17 |