| NPI | 1215166178 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: MA 250709) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 241158) |
| Enumeration Date | 2009-07-13 |
| Last Update Date | 2014-03-17 |