| NPI | 1619187036 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X Radiology Radiation Oncology (Licence: IA 39654) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA R7961) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2011-07-22 |