| NPI | 1104211341 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: KY TP565) |
| Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: KY R3825) |
| Enumeration Date | 2015-04-04 |
| Last Update Date | 2020-10-05 |