| NPI | 1376809814 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X Radiology Radiation Oncology (Licence: AZ 66765) |
| Additional Taxonomies | 2085R0001X Radiology Radiation Oncology (Licence: MN 56929) |
| 2085R0001X Radiology Radiation Oncology (Licence: MN 107109) | |
| 2085R0001X Radiology Radiation Oncology (Licence: WI 66752) | |
| Enumeration Date | 2012-04-10 |
| Last Update Date | 2022-08-15 |