| NPI | 1033888383 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MN 82469) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NE TEP9193) |
| Enumeration Date | 2021-09-09 |
| Last Update Date | 2026-06-03 |