| NPI | 1730564154 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: WA MD61650370) |
| Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: NH 22714) |
| Enumeration Date | 2015-07-27 |
| Last Update Date | 2025-03-04 |