| NPI | 1215914783 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: MN 46808) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 46808) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MN 46808) | |
| Enumeration Date | 2005-12-27 |
| Last Update Date | 2020-08-19 |