| NPI | 1235752270 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MN 69851) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MN TEP31469) |
| 208600000X Surgery (Licence: NE TEP8743) | |
| Enumeration Date | 2020-05-26 |
| Last Update Date | 2026-07-22 |