| NPI | 1508430919 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MN 72154) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: ND PT22501) |
| 207R00000X Internal Medicine (Licence: PA MT222974) | |
| Enumeration Date | 2021-05-19 |
| Last Update Date | 2026-04-27 |