| NPI | 1720089444 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: NY 192535) |
| Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: WI 71830) |
| Enumeration Date | 2005-08-03 |
| Last Update Date | 2021-02-08 |