| NPI | 1134582158 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: AZ 70868) |
| Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: WA MD61167145) |
| Enumeration Date | 2016-03-29 |
| Last Update Date | 2023-08-28 |