NPI | 1407106149 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2083A0300X Preventive Medicine, Addiction Medicine (Licence: MN 33991) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MN 33991) |
Enumeration Date | 2012-09-10 |
Last Update Date | 2024-03-22 |