| NPI | 1376512954 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: MI 4301089090) |
| Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: MA 220495) |
| Enumeration Date | 2006-03-16 |
| Last Update Date | 2012-04-11 |