| NPI | 1780902783 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: OR MD171720) |
| Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: WI 56785-20) |
| Enumeration Date | 2010-05-14 |
| Last Update Date | 2021-07-15 |