| NPI | 1417237058 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: TX S6434) |
| Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: NY 300340-01) |
| Enumeration Date | 2011-08-26 |
| Last Update Date | 2020-11-11 |