| NPI | 1215022611 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: CO DR.0065450) |
| Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: MO 2010011819) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2021-01-14 |