| NPI | 1710905054 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X Radiology Radiation Oncology (Licence: KY 24561) |
| Additional Taxonomies | 2085R0203X Radiology Therapeutic Radiology (Licence: KY 24561) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2008-04-15 |