| NPI | 1093768897 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: OH 35-05-3207) |
| Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: WV 14983) |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2013-05-06 |