NPI | 1053696773 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: OH 35.143138) |
Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: PA MD052814L) |
2085R0203X Radiology, Therapeutic Radiology (Licence: PA MD052814L) | |
Enumeration Date | 2011-10-13 |
Last Update Date | 2022-02-15 |