| NPI | 1962997700 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: MN 66139) |
| Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: MO 2018022145) |
| Enumeration Date | 2018-06-25 |
| Last Update Date | 2024-01-12 |