| NPI | 1245811678 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MN 72155) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: ND PT22737) |
| Enumeration Date | 2021-04-17 |
| Last Update Date | 2025-07-10 |