| NPI | 1053550228 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: MN 64832) |
| Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: MD D68563) |
| 2085R0203X Radiology, Therapeutic Radiology (Licence: NY 237510) | |
| Enumeration Date | 2009-02-11 |
| Last Update Date | 2018-12-04 |