| NPI | 1750818811 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MN 70978) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL 26289) |
| Enumeration Date | 2017-05-18 |
| Last Update Date | 2023-06-30 |