| NPI | 1588892749 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: WA MD60450542) |
| Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: MA 249551) |
| Enumeration Date | 2009-06-26 |
| Last Update Date | 2014-08-22 |