| NPI | 1487705380 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: WA AP30005338) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP30005338) |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2007-10-18 |