| NPI | 1255303558 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: WV 24166) |
| Additional Taxonomies | 174400000X Specialist (Licence: IL 036050872) |
| 174400000X Specialist (Licence: MO R5635) | |
| 174400000X Specialist (Licence: WV 24166) | |
| Enumeration Date | 2006-02-02 |
| Last Update Date | 2010-11-24 |