| NPI | 1356347504 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: PA MD062026L) |
| Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: NJ MA06558000) |
| Enumeration Date | 2005-06-22 |
| Last Update Date | 2018-06-06 |