| NPI | 1366443137 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: MI 4301087410) |
| Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: NY 231527) |
| Enumeration Date | 2005-08-03 |
| Last Update Date | 2007-07-08 |