| NPI | 1720304918 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0203X Radiology Therapeutic Radiology (Licence: MI 4301403157) |
| Additional Taxonomies | 207RH0002X Internal Medicine Hospice and Palliative Medicine (Licence: MI 4301403157) |
| Enumeration Date | 2010-04-13 |
| Last Update Date | 2010-04-13 |