| NPI | 1063556520 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X (Licence: MN 17691) |
| Additional Taxonomies | 2085R0203X Radiology, Therapeutic Radiology (Licence: MN 17691) |
| Enumeration Date | 2007-02-17 |
| Last Update Date | 2024-03-22 |