| NPI | 1932697091 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: MN 76413) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MN 76413) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: WI 73145-20) | |
| Enumeration Date | 2018-04-24 |
| Last Update Date | 2024-09-04 |