| NPI | 1457391906 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: FL ME108640) |
| Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: MI 4301067863) |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2011-04-05 |