| NPI | 1780905968 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: MD D0080308) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT198060) |
| 2085R0001X Radiology, Radiation Oncology (Licence: PA MT198060) | |
| Enumeration Date | 2010-06-22 |
| Last Update Date | 2015-09-29 |