| NPI | 1750566014 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: VA 0101248710) |
| Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: GA 61156) |
| Enumeration Date | 2008-01-07 |
| Last Update Date | 2020-10-28 |