| NPI | 1619049129 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: CA G81918) |
| Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: KY 32181) |
| 2085R0001X Radiology, Radiation Oncology (Licence: IN 01046843A) | |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2014-05-09 |