| NPI | 1619116142 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: CA C143707) |
| Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: TX BP10021727) |
| Enumeration Date | 2009-02-06 |
| Last Update Date | 2017-02-22 |