| NPI | 1457317075 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: TN 015342) |
| Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: MI 4301111121) |
| Enumeration Date | 2006-04-22 |
| Last Update Date | 2016-10-06 |