| NPI | 1407476435 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: MN 69924) |
| Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: MN 31515) |
| Enumeration Date | 2020-04-20 |
| Last Update Date | 2021-08-04 |