| NPI | 1124081245 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: CA G74545) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: KY 32676) |
| 174400000X Specialist (Licence: CA G74545) | |
| Enumeration Date | 2006-04-10 |
| Last Update Date | 2024-09-19 |