| NPI | 1922678705 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MN 82580) |
| Additional Taxonomies | 2085B0100X Radiology, Body Imaging (Licence: IA R-12293) |
| Enumeration Date | 2021-06-25 |
| Last Update Date | 2026-05-29 |