| NPI | 1083901698 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X Radiology Radiation Oncology (Licence: NE 29066) |
| Additional Taxonomies | 2085R0001X Radiology Radiation Oncology (Licence: IA 43227) |
| 2085R0001X Radiology Radiation Oncology (Licence: OH 57.023749) | |
| Enumeration Date | 2011-07-03 |
| Last Update Date | 2023-11-13 |