| NPI | 1992184709 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: GA 88159) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MN 66777) |
| Enumeration Date | 2015-05-26 |
| Last Update Date | 2021-11-01 |