| NPI | 1568452621 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X Radiology Radiation Oncology (Licence: GA 56592) |
| Additional Taxonomies | 174400000X Specialist (Licence: GA 56592) |
| Enumeration Date | 2005-10-28 |
| Last Update Date | 2015-08-25 |