| NPI | 1164414785 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: WA MD0093291) |
| Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: ID M8170) |
| Enumeration Date | 2005-08-19 |
| Last Update Date | 2017-03-24 |