| NPI | 1104053099 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: MI 4301104307) |
| Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: NY 252370) |
| Enumeration Date | 2009-06-17 |
| Last Update Date | 2021-06-25 |