| NPI | 1922659028 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085N0700X Radiology, Neuroradiology (Licence: MN 69398) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MN 30569) |
| Enumeration Date | 2019-09-20 |
| Last Update Date | 2025-02-12 |