| NPI | 1780441451 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085N0904X (Licence: MN 80317) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MN 34097) |
| Enumeration Date | 2024-02-29 |
| Last Update Date | 2025-09-02 |