| NPI | 1245611136 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: FL ME160146) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT209105) |
| Enumeration Date | 2015-06-16 |
| Last Update Date | 2022-12-27 |