| NPI | 1528025749 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: CA A98185) |
| Additional Taxonomies | 2085R0001X Radiology Radiation Oncology (Licence: CA A98185) |
| 2085R0202X Radiology Diagnostic Radiology (Licence: MA 227414) | |
| Enumeration Date | 2006-05-01 |
| Last Update Date | 2022-10-28 |