| NPI | 1487661336 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X (Licence: MN 37567) |
| Additional Taxonomies | 2085R0203X Radiology, Therapeutic Radiology (Licence: MN 37567) |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2021-03-15 |