| NPI | 1790032423 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: MN 55744) |
| Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: MI 4301102276) |
| Enumeration Date | 2012-08-13 |
| Last Update Date | 2020-08-19 |