| NPI | 1770229841 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MN 74780) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: ND PT23143) |
| Enumeration Date | 2022-05-11 |
| Last Update Date | 2025-12-03 |