| NPI | 1639397342 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: PA MD039903E) |
| Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: VI VI1387) |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2016-07-13 |