| NPI | 1578558037 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: NY 239245-1) |
| Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: MA 212917) |
| Enumeration Date | 2005-09-12 |
| Last Update Date | 2009-08-20 |