| NPI | 1760663991 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: TX U3220) |
| Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: FL ME102805) |
| Enumeration Date | 2007-11-15 |
| Last Update Date | 2023-06-28 |