| NPI | 1265708606 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: FL ME154159) |
| Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: WI 61418-20) |
| Enumeration Date | 2012-03-29 |
| Last Update Date | 2022-02-07 |