| NPI | 1063437515 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: OH 35.125723) |
| Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: TN 40280) |
| 2085R0001X Radiology, Radiation Oncology (Licence: AL 24394) | |
| 2085R0001X Radiology, Radiation Oncology (Licence: NC 97-00385) | |
| 2085R0001X Radiology, Radiation Oncology (Licence: MS 19098) | |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2020-12-01 |