| 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 |