| NPI | 1508652033 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MN 83388) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MN 35091) |
| Enumeration Date | 2025-04-21 |
| Last Update Date | 2026-07-30 |