| NPI | 1730507971 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X Radiology Radiation Oncology (Licence: NE 33527) |
| Additional Taxonomies | 2085R0001X Radiology Radiation Oncology (Licence: CT 56098) |
| Enumeration Date | 2014-04-04 |
| Last Update Date | 2024-03-16 |