| NPI | 1366508715 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: WV 29448) |
| Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: MA 50415) |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2020-11-03 |