| NPI | 1598766214 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X Radiology Radiation Oncology (Licence: MA 237355) |
| Additional Taxonomies | 2085R0001X Radiology Radiation Oncology (Licence: NY 218123) |
| Enumeration Date | 2005-08-03 |
| Last Update Date | 2020-03-05 |