| NPI | 1649690629 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: CT 72455) |
| Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: NY 300041-01) |
| Enumeration Date | 2014-04-17 |
| Last Update Date | 2023-02-28 |